Healthcare Provider Details

I. General information

NPI: 1134794407
Provider Name (Legal Business Name): JODI JEAN KIESSLING FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OHIO HEALTH BLVD STE 260
DELAWARE OH
43015-7870
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 740-615-0500
  • Fax: 740-615-0501
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0028957
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: