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NPI Code Detail

MEDICARE: JENNICA FEE

MEDICARE: JENNICA FEE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1679369581
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNICA FEE
Provider Business Mailing Address
First Line : 2170 SULKY TRL
Second Line :
City : BEAVERCREEK TOWNSHIP
State : OH
Zip : 45434-5602
Country : US
Telephone Number : 937-405-8897
Fax Number :
Provider Business Practice Location Address
First Line : 1332 WOODMAN DR
Second Line :
City : DAYTON
State : OH
Zip : 45432-3439
Country : US
Telephone Number : 513-489-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2025
Last Update Date : 04/17/2025

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Directions to “ JENNICA FEE ” Practice Location

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