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NPI Code Detail

MEDICARE: JENNIFER STEELE

MEDICARE: JENNIFER STEELE
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
1163W00000XRegistered NurseRN.393510OH

General Provider Information

NPI Number : 1720655525
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER STEELE
Provider Business Mailing Address
First Line : 800 AMBROSE DR
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9146
Country : US
Telephone Number : 419-692-0590
Fax Number :
Provider Business Practice Location Address
First Line : 800 AMBROSE DR
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9146
Country : US
Telephone Number : 419-692-0590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 06/09/2021

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Directions to “ JENNIFER STEELE ” Practice Location

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