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NPI Code Detail

MEDICARE: MS. JENNIFER T MINTON CNP

MEDICARE: MS. JENNIFER T MINTON CNP
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.08019OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649240672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER T MINTON CNP
Provider Business Mailing Address
First Line : 335 GLESSNER AVE RM 325
Second Line :
City : MANSFIELD
State : OH
Zip : 44903-2269
Country : US
Telephone Number : 419-520-2495
Fax Number :
Provider Business Practice Location Address
First Line : 21 E STATE ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4281
Country : US
Telephone Number : 574-546-1900
Fax Number : 574-546-1999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 02/17/2026

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