Healthcare Provider Details

I. General information

NPI: 1699129684
Provider Name (Legal Business Name): JESSICA LENEGAR MSN ANESTHESIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2016
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 OLENTANGY RIVER RD
COLUMBUS OH
43202-1523
US

IV. Provider business mailing address

1937 VOLLMAR RD
CHILLICOTHEE OH
45601-8995
US

V. Phone/Fax

Practice location:
  • Phone: 740-418-0133
  • Fax:
Mailing address:
  • Phone: 740-418-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN.353355
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: