MEDICARE: JENNIFER LOUISE NAEGELI

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	163W00000X	Registered Nurse	RN.454977	OH
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1467396481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LOUISE NAEGELI

Provider Business Mailing Address
First Line	:	2159 RIDGECREST DR NW
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-2124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2159 RIDGECREST DR NW
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-2124
Country	:	US
Telephone Number	:	330-639-8507
Fax Number	:

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

Provider Enumeration Date	:	04/18/2026
Last Update Date	:	04/22/2026

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Directions to “ JENNIFER LOUISE NAEGELI ” Practice Location

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