Healthcare Provider Details

I. General information

NPI: 1013781913
Provider Name (Legal Business Name): JESSICA MARIE LAINHART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MEDICAL CENTER DR
SEAMAN OH
45679-8002
US

IV. Provider business mailing address

4966 STATE ROUTE 133
WILLIAMSBURG OH
45176-9706
US

V. Phone/Fax

Practice location:
  • Phone: 937-386-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11230255
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: