Individual provider · Type 1 NPI

Jenna Christine Korsog, CPNP-PC

Pediatric Nurse Practitioner · Dayton, OH

NPI number 1679147920 Active

Practice location

1 Childrens Plz
Dayton, OH 45404-1873

Call (513) 872-6257 Map

Mailing address

PO Box 933432
Cleveland, OH 44193-0039

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	0028098 (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679147920

Jenna Christine Korsog, CPNP-PC's National Provider Identifier is 1679147920, issued on May 19, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dayton, OH. The record was last updated on Nov 6, 2023.