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NPI Code Detail

MEDICARE: JENNIFER A. MESSENGER C.N.P.

MEDICARE: JENNIFER A. MESSENGER C.N.P.
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
1363LF0000XFamily Nurse PractitionerCOA-13899 NPOH
2363LP0200XPediatric Nurse PractitionerAPRN.CNP.13899OH
3363L00000XNurse PractitionerAPRN.CNP.13899OH

General Provider Information

NPI Number : 1578817193
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A. MESSENGER C.N.P.
Provider Business Mailing Address
First Line : 1945 LINCOLN WAY E
Second Line :
City : MASSILLON
State : OH
Zip : 44646-6965
Country : US
Telephone Number : 330-644-2747
Fax Number :
Provider Business Practice Location Address
First Line : 5147 MANCHESTER RD
Second Line :
City : AKRON
State : OH
Zip : 44319-3911
Country : US
Telephone Number : 330-644-2747
Fax Number : 330-644-9815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2012
Last Update Date : 11/14/2018

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