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JESSICA M ROACH LPN, MPH
NPI 1124880109
Licensed Practical Nurse in Columbus, OH

Active since January 25, 2024
5120 ETNA RD, COLUMBUS, OH 43213(614) 440-4362 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica M Roach Lpn, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA M ROACH LPN, MPH (NPI 1124880109) is an individual licensed practical nurse in Columbus, Ohio, licensed in Ohio (LPN.100395.MEDS-IV) and active in the NPI registry since January 2024. She maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1124880109
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA M ROACHCredential: LPN, MPH
Location Address5120 ETNA RDColumbus, OH 43213-2532
Mailing Address5120 Etna RdColumbus, OH 43213-2532 · (614) 440-4362
Phone(614) 440-4362
Sole ProprietorYes
Enumeration DateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1124880109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.100395.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Public Health, FederalTaxonomy 261QP0904X
5120 ETNA RD, Columbus, OH 43213
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Secondary Practice Location 1

Location 1118 E Main St Fl 2Columbus, OH 43215-5208 · Phone (614) 440-4362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Roach's NPI number?

The NPI number for Jessica Roach is 1124880109. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Where is Jessica Roach located?

Jessica Roach practices at 5120 Etna Rd, Columbus, OH 43213. The listed phone number is (614) 440-4362.

What is Jessica Roach's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Roach was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.