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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH DENNING

MEDICARE: JENNIFER ELIZABETH DENNING
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396248290
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH DENNING
Provider Business Mailing Address
First Line : 2106 GLENVIEW DR
Second Line :
City : PEKIN
State : IL
Zip : 61554-5223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11401 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2349
Country : US
Telephone Number : 888-515-1793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2018
Last Update Date : 03/16/2018

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Directions to “ JENNIFER ELIZABETH DENNING ” Practice Location

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