Individual
JENNI FARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040
(513) 536-4673
(513) 536-0609
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35091096
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35.091096
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2992650
—
OH
Enumeration date
05/03/2007
Last updated
06/24/2020
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