MEDICARE: JENELLE BELCHER

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1790629731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENELLE BELCHER

Provider Business Mailing Address
First Line	:	3107 MCHENRY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-7303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4777 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2725
Country	:	US
Telephone Number	:	513-870-7812
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ JENELLE BELCHER ” Practice Location

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