Healthcare Provider Details

I. General information

NPI: 1760309124
Provider Name (Legal Business Name): JESSICA HERMAN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1196 NEIL AVE
COLUMBUS OH
43201-3120
US

IV. Provider business mailing address

696 S HAGUE AVE
COLUMBUS OH
43204-2405
US

V. Phone/Fax

Practice location:
  • Phone: 614-427-3698
  • Fax:
Mailing address:
  • Phone: 937-602-9604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: