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NPI Code Detail

MEDICARE: JENNIFER ANN ATKINSON ACNP

MEDICARE: JENNIFER ANN ATKINSON ACNP
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
1363LA2100XAcute Care Nurse PractitionerRN247919OH
2363LA2100XAcute Care Nurse PractitionerNP05239OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1208679830031OTHEROHCARESOURCE
2328178OTHEROHAMERIGROUP
3000000524479OTHEROHANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952355950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANN ATKINSON ACNP
Provider Business Mailing Address
First Line : 103 MCKNIGHT DR
Second Line : SUITE A
City : MIDDLETOWN
State : OH
Zip : 45044-4890
Country : US
Telephone Number : 513-217-6400
Fax Number : 513-217-6037
Provider Business Practice Location Address
First Line : 103 MCKNIGHT DR
Second Line : SUITE A
City : MIDDLETOWN
State : OH
Zip : 45044-4890
Country : US
Telephone Number : 513-217-6400
Fax Number : 513-217-6037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 05/19/2025

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Directions to “ JENNIFER ANN ATKINSON ACNP” Practice Location

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