Individual provider · Type 1 NPI

Jodi Micsky, CNP

Primary Care Nurse Practitioner · Poland, OH

NPI number 1245649615 Active

Practice location

715 E Western Reserve Rd
Poland, OH 44514-3358

Fax (330) 729-9316

Mailing address

PO Box 636988
Cincinnati, OH 45263-6988

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAPRN.CNP.16119 (OH)
Primary Care Nurse Practitioner Primary 363LP2300XAPRN.CNP.16119 (OH)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1245649615

Jodi Micsky, CNP's National Provider Identifier is 1245649615, issued on Aug 10, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Poland, OH. The record was last updated on Oct 11, 2024.