Doctor Name: | JENNIFER DIMEFF |
NPI Number: | 1447616842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN |
License Number: | 338258 |
Business Practice Address: | 2660 Dayton Xenia Rd Beavercreek, OH - 454346416 |
Business Phone Number: | 9374582344 |
Business Fax Number: | 9374582396 |
Mailing Address: | 2660 Dayton Xenia Rd, BEAVERCREEK |
State: | OH |
Postal Code: | 454346416 |
Phone Number: | 9374582344 |
Fax Number: | 9374582396 |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 338258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |