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NPI Code Detail

MEDICARE: MS. JENNIFER MICHELLE MEYER RN

MEDICARE: MS. JENNIFER MICHELLE MEYER RN
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
1163W00000XRegistered Nurse20344AK

General Provider Information

NPI Number : 1881806388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER MICHELLE MEYER RN
Provider Business Mailing Address
First Line : 8011 MARSHA LOOP
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-3291
Country : US
Telephone Number : 907-302-8850
Fax Number :
Provider Business Practice Location Address
First Line : 670 W FIREWEED LN STE 160
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2561
Country : US
Telephone Number : 907-302-8850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 03/17/2018

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