MEDICARE: JENNIE DILLEY

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902341761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIE DILLEY

Provider Business Mailing Address
First Line	:	1308 NW 9TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-7012
Country	:	US
Telephone Number	:	405-514-2653
Fax Number	:

Provider Business Practice Location Address
First Line	:	1308 NW 9TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-7012
Country	:	US
Telephone Number	:	405-514-2653
Fax Number	:

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

Provider Enumeration Date	:	01/03/2017
Last Update Date	:	01/03/2017

Similar Medicare Providers

1558569525 — MRS. COURTNEY L EILERTS RD, LD
Practice Location Address:

7012 N COUNTRY CLUB PL
OKLAHOMA CITY, OK
73116-4409

Practice Phone: 405-397-0951
Practice Fax:

1619027299 — MR. STEVEN J LOEHNER
Practice Location Address:

911 44TH DR
LONG ISLAND CITY, NY
11101-7012

Practice Phone: 718-392-5823
Practice Fax: 718-392-8171

1336342591 — MR. MICHAEL JESSE LEWIS IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY, FL
32407-7012

Practice Phone: 850-230-3236
Practice Fax: 850-230-3234

1215130414 — MR. JAMES THOMAS BRAWLEY IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY, FL
32407-7012

Practice Phone: 850-230-3238
Practice Fax: 850-230-3234

1558555094 — CHRISTOPHER RYAN LOVING
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY BEACH, FL
32407-7012

Practice Phone: 850-230-3275
Practice Fax:

1841462579 — JEROMY CRONIN US NAVY IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY BEACH, FL
32407-7012

Practice Phone: 850-230-3100
Practice Fax:

Directions to “ JENNIE DILLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.