Healthcare Provider Details

I. General information

NPI: 1710582291
Provider Name (Legal Business Name): JESSICA O'ROURKE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7642 READING RD
CINCINNATI OH
45237-3204
US

IV. Provider business mailing address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-2827
US

V. Phone/Fax

Practice location:
  • Phone: 513-619-7766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRNCNP0027726
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRNCNP0027726
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN.CNP.0027726
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: