Most Relevant Information
Provider Data
| NPI Number: | 1003387051 |
| Provider Name: | JESSICA ANNE YAGER |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 404424 |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 10/29/2019 |
Provider Practice Location
630 E RIVER ST
ELYRIA
OH
440355902
Practice Location Phone/Fax
| Phone: | 4403238515 |
| Fax: | 4403237900 |
Provider Mailing Location
860 E BROAD ST STE I
ELYRIA
OH
440356542
Provider Mailing Phone/Fax
| Phone: | 4403238515 |
| Fax: |