IndividualActive
Jenelle Niese
NPI 1861845158 · Family Nurse Practitioner · Ada, OH
Provider details
- NPI number
- 1861845158
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.19255 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
604 W North Ave
Ada, OH 45810-1041
Phone: (419) 634-0431
Approximate (ZIP-level) locationGet directions
Mailing address
604 W North Ave
Ada, OH 45810-1041
Registry dates
- Enumerated
- 2016-07-21
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.