Jessica Luckenbill, PA

NPI 1174873103 · on the registry since 2012 · sole proprietor

Practice

Address: 9000 N Main St
Suite 200
Englewood, OH 45415
Phone: (937) 836-5555
Fax: (937) 836-7518
Organisation at this address: Samaritan Family Care, Inc
Compunet Clinical Laboratories Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 75

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio