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NPI Code Detail

MEDICARE: JENNA M PANOS NP

MEDICARE: JENNA M PANOS NP
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 PractitionerAPRN.CNP.024645OH

General Provider Information

NPI Number : 1639714884
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA M PANOS NP
Provider Business Mailing Address
First Line : 5005 ARLINGTON CENTRE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2912
Country : US
Telephone Number : 614-246-6900
Fax Number : 614-453-1547
Provider Business Practice Location Address
First Line : 5005 ARLINGTON CENTRE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2912
Country : US
Telephone Number : 614-246-6900
Fax Number : 614-453-1547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 03/04/2026

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Directions to “ JENNA M PANOS NP” Practice Location

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