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NPI Code Detail

MEDICARE: JENNIE DEAN FOWLER

MEDICARE:   JENNIE DEAN FOWLER
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
1372500000XChore Provider

General Provider Information

NPI Number : 1346045515
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIE DEAN FOWLER
Provider Business Mailing Address
First Line : 1709 MCDONALD DR
Second Line :
City : NORFOLK
State : NE
Zip : 68701-2033
Country : US
Telephone Number : 402-992-9904
Fax Number :
Provider Business Practice Location Address
First Line : 1709 MCDONALD DR
Second Line :
City : NORFOLK
State : NE
Zip : 68701-2033
Country : US
Telephone Number : 402-992-9904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 02/13/2025

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Directions to “ JENNIE DEAN FOWLER ” Practice Location

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