Individual provider · Type 1 NPI

Jaclynn Pauline Back, APRN

Family Nurse Practitioner · Newark, OH

NPI number 1770835506 Active

Practice location

1445 W Main St
Newark, OH 43055-1989

Fax (513) 873-1567

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.313249 (OH)
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.13665 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1770835506

Jaclynn Pauline Back, APRN's National Provider Identifier is 1770835506, issued on Oct 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newark, OH. The record was last updated on Oct 3, 2024.