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NPI Code Detail

MEDICARE: JENNIFER VADEN APRN

MEDICARE: JENNIFER VADEN APRN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse1131377KY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner021655OH
3363LP0808XPsychiatric/Mental Health Nurse Practitioner3011444KY

General Provider Information

NPI Number : 1356876940
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER VADEN APRN
Provider Business Mailing Address
First Line : 2704 WESLEY DR
Second Line :
City : VILLA HILLS
State : KY
Zip : 41017-1041
Country : US
Telephone Number : 859-750-3080
Fax Number : 210-899-1849
Provider Business Practice Location Address
First Line : 4850 SMITH RD STE 250
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2733
Country : US
Telephone Number : 513-699-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2017
Last Update Date : 08/27/2025

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