Female

Dr. Jessica A. Prokup M.D.

Pediatric Rehabilitation Medicine Physician in Columbus, OH(View on Map)

Full Name

Dr. Jessica A. Prokup M.D.

NPI Number

1770044653

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/25/2019

Specialties

(Taxonomies)

Licenses

State

Ohio

License Number

35147383

Contact
Information

Purpose

Mailing
Location

Address

700 ACKERMAN RD STE 2120
2050 KENNY RD

City

Columbus
Columbus

State

OH
OH

Postal Code

43202-1559
43221-3502

Country

US
US

Telephone Number

(614) 366-9211
(614) 366-9211

Identifiers

Identifier

0351783

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/20/2023

Provider Address

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