MEDICARE: JEANNA NEIHEISEL APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0041437	OH

General Provider Information

NPI Number	:	1770905853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNA NEIHEISEL APRN, FNP-C

Provider Business Mailing Address
First Line	:	2359 NEELD RD
Second Line	:
City	:	EAST PALESTINE
State	:	OH
Zip	:	44413-1457
Country	:	US
Telephone Number	:	330-420-5718
Fax Number	:

Provider Business Practice Location Address
First Line	:	2359 NEELD RD
Second Line	:
City	:	EAST PALESTINE
State	:	OH
Zip	:	44413-1457
Country	:	US
Telephone Number	:	330-420-5718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	02/12/2026

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