Healthcare Provider Details

I. General information

NPI: 1669316550
Provider Name (Legal Business Name): JESSICA GREER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7223 TOWNSHIP ROAD 331 SE
CORNING OH
43730-9702
US

IV. Provider business mailing address

PO BOX 444
MOXAHALA OH
43761-0444
US

V. Phone/Fax

Practice location:
  • Phone: 330-518-0056
  • Fax:
Mailing address:
  • Phone: 330-518-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: