MEDICARE: JENNIFER DUFNER

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1891620902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DUFNER

Provider Business Mailing Address
First Line	:	56 ZION CT
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62712-9142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 ZION CT
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62712-9142
Country	:	US
Telephone Number	:	217-494-1211
Fax Number	:

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ JENNIFER DUFNER ” Practice Location

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