Organization
JENIFER FOWLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENIFER FOWLER I (LPN)
(740) 507-4914
Entity
Organization
Contact information
Practice address
905 N MULBERRY ST, MOUNT VERNON, OH 43050-1662
(740) 507-4914
Mailing address
905 N MULBERRY ST, MOUNT VERNON, OH 43050-1662
(740) 507-4914
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
122172
OH
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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