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NPI Code Detail

MEDICARE: JENNIFER LYNN ROGERS AUD

MEDICARE: JENNIFER LYNN ROGERS AUD
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
1231H00000XAudiologist23002164AIN

General Provider Information

NPI Number : 1588608491
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN ROGERS AUD
Provider Business Mailing Address
First Line : 2920 S MCINTIRE DR STE 350
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-4215
Country : US
Telephone Number : 812-332-2226
Fax Number : 812-339-2934
Provider Business Practice Location Address
First Line : 2920 S MCINTIRE DR
Second Line : SUITE 350
City : BLOOMINGTON
State : IN
Zip : 47403-4221
Country : US
Telephone Number : 812-332-2226
Fax Number : 812-339-2934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 12/18/2025

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