Provider Demographics
NPI:1861875437
Name:MORIN, JOCELYN (MD)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-1101
Mailing Address - Country:US
Mailing Address - Phone:614-293-2700
Mailing Address - Fax:614-293-2720
Practice Address - Street 1:3045 JOHN TRUSH JR BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035-9557
Practice Address - Country:US
Practice Address - Phone:315-815-1430
Practice Address - Fax:315-655-1113
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
NY291721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program