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NPI Code Detail

MEDICARE: JENNIFER G FLANAGAN QMHP

MEDICARE: JENNIFER G FLANAGAN QMHP
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1255796660
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER G FLANAGAN QMHP
Provider Business Mailing Address
First Line : 400 E STATE ST STE D
Second Line :
City : ATHENS
State : OH
Zip : 45701-1870
Country : US
Telephone Number : 866-534-2639
Fax Number :
Provider Business Practice Location Address
First Line : 400 E STATE ST STE D
Second Line :
City : ATHENS
State : OH
Zip : 45701-1870
Country : US
Telephone Number : 866-534-2639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 03/12/2025

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