Healthcare Provider Details

I. General information

NPI: 1851109904
Provider Name (Legal Business Name): JESSY KAUR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 OVERBROOK DR STE 100
MONROE OH
45050-1199
US

IV. Provider business mailing address

1401 STEFFEN AVE
CINCINNATI OH
45215-2338
US

V. Phone/Fax

Practice location:
  • Phone: 513-539-7356
  • Fax: 513-539-0205
Mailing address:
  • Phone: 513-554-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07241023
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: