NPI
Jackie Cervantes
NPI 1629197009
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2007-03-28
- Last updated
- 2007-07-09
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Specialties
Licenses
- License OH
- 2627456
Location
- Practice location
- 308 Jack Roush Way
- City
- Manchester OH
- Postal code
- 45144-1423
- Phone
- (937) 549-8502
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Other NPIs in Manchester, OH. 66 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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