MEDICARE: MRS. JENNIFER GEITGEY 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
1	364S00000X	Clinical Nurse Specialist	APRN.CNS.019353	OH

General Provider Information

NPI Number	:	1417460395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER GEITGEY APRN

Provider Business Mailing Address
First Line	:	PO BOX 339
Second Line	:
City	:	ENON
State	:	OH
Zip	:	45323-0339
Country	:	US
Telephone Number	:	937-863-1003
Fax Number	:	775-382-4434

Provider Business Practice Location Address
First Line	:	8534 YANKEE ST STE 2D
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-1889
Country	:	US
Telephone Number	:	937-863-1003
Fax Number	:	775-382-4434

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

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	10/23/2025

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