MEDICARE: JENNIFER FAY

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1184249625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER FAY

Provider Business Mailing Address
First Line	:	1117 N CHURCH ST
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202-3330
Country	:	US
Telephone Number	:	888-506-3770
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 N CHURCH ST
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202-3330
Country	:	US
Telephone Number	:	888-506-3770
Fax Number	:

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

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	01/23/2024

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Directions to “ JENNIFER FAY ” Practice Location

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