Provider Demographics
NPI:1023577699
Name:DEAN, KATHERINE JESSICA (RN, APRN, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JESSICA
Last Name:DEAN
Suffix:
Gender:F
Credentials:RN, APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15130 HOME CT
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43103-9379
Mailing Address - Country:US
Mailing Address - Phone:740-466-9271
Mailing Address - Fax:
Practice Address - Street 1:1532 WESLEY WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-7642
Practice Address - Country:US
Practice Address - Phone:740-653-5088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022997363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology