Healthcare Provider Details

I. General information

NPI: 1407331069
Provider Name (Legal Business Name): JENNA TONG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2018
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15100 BIRCHAVEN LN
FINDLAY OH
45840-9773
US

IV. Provider business mailing address

15100 BIRCHAVEN LN
FINDLAY OH
45840-9773
US

V. Phone/Fax

Practice location:
  • Phone: 419-425-3158
  • Fax: 419-425-3085
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0040169
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: