Jennnifer T Butler, RN
Individual provider Active NPI Registered Nurse · Fredericktown, OH
NPI 1962736397 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1962736397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.373921- (OH)
- Practice address
- 6990 State Route 95
Fredericktown, OH 43019-9556 - Phone
- (740) 501-8948
- NPI assigned
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.373921- | OH | MD | Registered Nurse |
| PN 124429 IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 124429 IV | OH | |
| Registered Nurse | 163W00000X | RN.373921- | OH | Yes |
Addresses
Primary practice location
6990 State Route 95
Fredericktown, OH 43019-9556
Mailing address
6990 State Route 95
Fredericktown, OH 43019-9556
Phone (740) 501-8948
Other providers in Fredericktown, OH
- Deborah Avalon
- Danielle Blackford
- Shannon Marie Boeshart
- Joyce A Brake
- Robert Eric Burns
- Cassandra Lynn Byers
- Stephanie Campbell
- Carl Lee Coogle
- Melissa Cook
- Rebekah H Crawford
All providers in Fredericktown, OH · Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.