Healthcare Provider Details

I. General information

NPI: 1396186094
Provider Name (Legal Business Name): JEANNE MARIE KLEIN MSN, RN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 N LAKEMAN DR STE 109
BELLBROOK OH
45305-1200
US

IV. Provider business mailing address

1930 N LAKEMAN DR STE 109
BELLBROOK OH
45305-1200
US

V. Phone/Fax

Practice location:
  • Phone: 937-203-3079
  • Fax: 937-886-6609
Mailing address:
  • Phone: 937-203-3079
  • Fax: 937-886-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.14995
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: