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NPI Code Detail

MEDICARE: MS. HEATHER JENALEE MASSEY

MEDICARE:  MS. HEATHER JENALEE MASSEY
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 : 1821205790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER JENALEE MASSEY
Provider Business Mailing Address
First Line : 815 MORNINGSIDE DR
Second Line : APT B-11
City : KENTON
State : OH
Zip : 43326-2611
Country : US
Telephone Number : 937-599-2766
Fax Number : 937-599-3151
Provider Business Practice Location Address
First Line : 1600 S MAIN ST
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-1508
Country : US
Telephone Number : 937-599-2766
Fax Number : 937-599-3151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ MS. HEATHER JENALEE MASSEY ” Practice Location

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