Healthcare Provider Details

I. General information

NPI: 1831465848
Provider Name (Legal Business Name): JENNIFER YEE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2012
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

525 E MARKET ST SUMMA HEALTH SYSTEM
AKRON OH
44304-1619
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3107
  • Fax:
Mailing address:
  • Phone: 330-375-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34-011089
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: