MEDICARE: MRS. JENNIFER L. FLETCHER M.D.

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	207Q00000X	Family Medicine Physician	01055498A	IN

General Provider Information

NPI Number	:	1346249885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER L. FLETCHER M.D.

Provider Business Mailing Address
First Line	:	955 N MICHIGAN AVE
Second Line	:
City	:	GREENSBURG
State	:	IN
Zip	:	47240-1487
Country	:	US
Telephone Number	:	812-663-7277
Fax Number	:	812-662-7307

Provider Business Practice Location Address
First Line	:	955 N MICHIGAN AVE
Second Line	:
City	:	GREENSBURG
State	:	IN
Zip	:	47240-1487
Country	:	US
Telephone Number	:	812-663-7277
Fax Number	:	812-662-7307

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

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Directions to “ MRS. JENNIFER L. FLETCHER M.D.” Practice Location

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