MEDICARE: JENNIFER MARIE DAISEY

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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1831736875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MARIE DAISEY

Provider Business Mailing Address
First Line	:	11944 OCEAN GTWY STE B
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-9506
Country	:	US
Telephone Number	:	410-641-2943
Fax Number	:

Provider Business Practice Location Address
First Line	:	11944 OCEAN GTWY STE B
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-9506
Country	:	US
Telephone Number	:	410-641-2943
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	12/10/2019

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Directions to “ JENNIFER MARIE DAISEY ” Practice Location

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