MEDICARE: JENNIFER M KAPLE DNP

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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.020513	OH

General Provider Information

NPI Number	:	1114458163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER M KAPLE DNP

Provider Business Mailing Address
First Line	:	1031 PIERCE ST
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4669
Country	:	US
Telephone Number	:	419-557-5568
Fax Number	:	419-557-5542

Provider Business Practice Location Address
First Line	:	1019 PIERCE ST
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4633
Country	:	US
Telephone Number	:	419-626-1118
Fax Number	:	419-626-2500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	03/22/2017

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