Jennifer Fenn

NPI #1811372543 in Ardmore, Oklahoma

Provider Information

NPI Number: 1811372543
Entity Type: Individual
Name: Jennifer Fenn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jul 23, 2015
Last Updated: Jul 23, 2015

Practice Location

Address: 115 W BROADWAY ST
Address 2: SUITE 401
City: Ardmore
State: Oklahoma
ZIP Code: 73401-6205
Phone: (580) 226-5209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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