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NPI Code Detail

MEDICARE: JENNIFER MEHLING FNP

MEDICARE:   JENNIFER  MEHLING  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician343312NY

General Provider Information

NPI Number : 1023594041
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MEHLING FNP
Provider Business Mailing Address
First Line : 169 HINDS RD
Second Line :
City : GALWAY
State : NY
Zip : 12074-2330
Country : US
Telephone Number : 518-788-6137
Fax Number :
Provider Business Practice Location Address
First Line : 700 S PERRY ST
Second Line :
City : JOHNSTOWN
State : NY
Zip : 12095-3213
Country : US
Telephone Number : 518-762-3161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 07/12/2018

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Directions to “ JENNIFER MEHLING FNP” Practice Location

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