Provider Demographics
NPI:1598430571
Name:ROOD, JAIMEE (MSN, APRN, NP-C, OCN)
Entity type:Individual
Prefix:
First Name:JAIMEE
Middle Name:
Last Name:ROOD
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5516 E FOXHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PORT CLINTON
Mailing Address - State:OH
Mailing Address - Zip Code:43452-3410
Mailing Address - Country:US
Mailing Address - Phone:330-704-8060
Mailing Address - Fax:
Practice Address - Street 1:417 QUARRY LAKES DR
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-8635
Practice Address - Country:US
Practice Address - Phone:419-626-9090
Practice Address - Fax:419-626-6319
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029426363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner