Healthcare Provider Details

I. General information

NPI: 1396336921
Provider Name (Legal Business Name): JENNIFER MAE PUTNAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 BLAIR AVE NW
WARREN OH
44483-3306
US

IV. Provider business mailing address

1542 BLAIR AVE NW
WARREN OH
44483-3306
US

V. Phone/Fax

Practice location:
  • Phone: 330-274-6106
  • Fax:
Mailing address:
  • Phone: 330-274-6106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: