MEDICARE: JENNIFER STEPHENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1083324925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER STEPHENSON

Provider Business Mailing Address
First Line	:	7339 CINCINNATI DAYTON RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1545
Country	:	US
Telephone Number	:	513-593-2728
Fax Number	:

Provider Business Practice Location Address
First Line	:	7339 CINCINNATI DAYTON RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1545
Country	:	US
Telephone Number	:	513-593-2728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	12/01/2022

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Directions to “ JENNIFER STEPHENSON ” Practice Location

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