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NPI Code Detail

MEDICARE: JENNIFER WEN

MEDICARE: JENNIFER WEN
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1548052335
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER WEN
Provider Business Mailing Address
First Line : 4000 SMITHTOWN RD # 104
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6559
Country : US
Telephone Number : 770-695-7606
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SMITHTOWN RD # 104
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6559
Country : US
Telephone Number : 770-695-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 05/19/2025

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Directions to “ JENNIFER WEN ” Practice Location

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