MEDICARE: DR. JENNIFER LEE DYE NMD

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	175F00000X	Naturopath	09-1160	AZ

General Provider Information

NPI Number	:	1942480777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LEE DYE NMD

Provider Business Mailing Address
First Line	:	10210 N 32ND ST STE C5
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3826
Country	:	US
Telephone Number	:	480-448-8888
Fax Number	:	844-391-7650

Provider Business Practice Location Address
First Line	:	10210 N 32ND ST STE C5
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3826
Country	:	US
Telephone Number	:	480-448-8888
Fax Number	:	844-391-7650

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

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	03/27/2026

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