Healthcare Provider Details

I. General information

NPI: 1376971721
Provider Name (Legal Business Name): JENNIFER JENAY ADAMS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER JENAY SIZEMORE CNP

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 N MAIN ST STE 120
SPRINGBORO OH
45066-2100
US

IV. Provider business mailing address

825 N MAIN ST STE 120
SPRINGBORO OH
45066-2100
US

V. Phone/Fax

Practice location:
  • Phone: 937-762-5030
  • Fax: 937-762-5039
Mailing address:
  • Phone: 937-762-5030
  • Fax: 937-762-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.15153
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: