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NPI Code Detail

MEDICARE: JEANNE MINOR

MEDICARE:   JEANNE  MINOR
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
1376J00000XHomemakerOH

General Provider Information

NPI Number : 1609722214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE MINOR
Provider Business Mailing Address
First Line : 314 ELIZABETH LN
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 314 ELIZABETH LN
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1168
Country : US
Telephone Number : 740-222-5582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ JEANNE MINOR ” Practice Location

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