Melissa E Jennerjohn in Madison - Medical
Melissa E Jennerjohn - NPI 1427122902
Melissa E Jennerjohn is a Medical in Madison, Wisconsin. Melissa E Jennerjohn practices all healthcare services and medical treatments related to Medical. The NPI Number for Melissa E Jennerjohn is 1427122902. The last update date is 2021-04-07.
Melissa E Jennerjohn's current location address is 1821 S Stoughton Rd, Madison, Wisconsin. You can contact this provider via phone number 6082606000 and fax number 6082606484. The mailing address for Melissa E Jennerjohn is 1821 S Stoughton Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa E Jennerjohn |
|---|---|
| Address | 1821 S Stoughton Rd, Madison, Wisconsin |
| Phone Number | 6082606000 |
| Fax Number | 6082606484 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1427122902 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2021-04-07 |
Provider Mailing Address Detail
| Address | 1821 S Stoughton Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537162257 |
| Phone Number | 6082606000 |
| Fax Number | 6082606484 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2077-23 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1427122902 | WI | -- |
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What is the unique 10-digit identifier code issued to Melissa E Jennerjohn by the Centers for Medicare & Medicaid Services?
The Melissa E Jennerjohn has been assigned the NPI (National Provider Identifier) 1427122902 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Melissa E Jennerjohn located?
The Melissa E Jennerjohn is located at 1821 S Stoughton Rd, Madison, WI 537162257.
What is the Melissa E Jennerjohn's specialty and taxonomy code?
The Melissa E Jennerjohn's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Melissa E Jennerjohn receive its 1427122902?
The Melissa E Jennerjohn was issued its 1427122902 on 2006-11-17, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Melissa E Jennerjohn most recently updated or revised?
The details related to Melissa E Jennerjohn, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-07.
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