Provider Demographics
NPI:1063110435
Name:CARTWRIGHT, JESSICA FAITH
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:FAITH
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 SANDUSKY RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-9741
Mailing Address - Country:US
Mailing Address - Phone:419-236-5010
Mailing Address - Fax:
Practice Address - Street 1:5110 SANDUSKY RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-9741
Practice Address - Country:US
Practice Address - Phone:419-236-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker