SearchOhio101YA0400X

Jaci Gump

NPI 1811469638 · on the registry since 2018 · sole proprietor

Practice

Address
8402 Blackjack Rd
Mount Vernon, OH 43050
Phone
(740) 485-9887
Clinicians at this address
57

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-17

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