Jennifer Grace Kaffenberger, RN MSN
Individual provider Active NPI Registered Nurse · Bellbrook, OH
NPI 1962889220 · NPPES record last updated May 6, 2015
Key facts
- NPI
- 1962889220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 179374 (OH)
- Practice address
- 3600 Feedwire Rd
Bellbrook, OH 45305-9704 - Phone
- (937) 848-2141
- Fax
- (937) 848-2141
- NPI assigned
- May 6, 2015
- 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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 179374 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 179374 | OH | Yes |
Addresses
Primary practice location
3600 Feedwire Rd
Bellbrook, OH 45305-9704
Mailing address
3600 Feedwire Rd
Bellbrook, OH 45305-9704
Phone (937) 848-2141
Other providers in Bellbrook, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2015. 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.