Healthcare Provider Details

I. General information

NPI: 1740574128
Provider Name (Legal Business Name): CHRISTINA M JEPSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA MARIE-GUZZO JEPSON MD

II. Dates (important events)

Enumeration Date: 06/03/2011
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ALTAIR PKWY STE 3100
WESTERVILLE OH
43082-7653
US

IV. Provider business mailing address

400 ALTAIR PKWY STE 3100
WESTERVILLE OH
43082-7653
US

V. Phone/Fax

Practice location:
  • Phone: 614-899-2700
  • Fax: 614-823-5656
Mailing address:
  • Phone: 614-899-2700
  • Fax: 614-823-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35122695
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: