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NPI Code Detail

MEDICARE: JENNIFER JILL HARTMAN MD

MEDICARE: JENNIFER JILL HARTMAN MD
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
1207Q00000XFamily Medicine Physician35087974OH

General Provider Information

NPI Number : 1811008840
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JILL HARTMAN MD
Provider Business Mailing Address
First Line : 1160 W BROAD ST
Second Line : LOWER LIGHTS CHRISTIAN HEALTH CENTER
City : COLUMBUS
State : OH
Zip : 43222-1317
Country : US
Telephone Number : 614-274-1455
Fax Number : 614-274-1433
Provider Business Practice Location Address
First Line : 1160 W BROAD ST
Second Line : LOWER LIGHTS CHRISTIAN HEALTH CENTER
City : COLUMBUS
State : OH
Zip : 43222-1317
Country : US
Telephone Number : 614-274-1455
Fax Number : 614-274-1433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/01/2023

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