DR. JENNIFER LYNN FEDOROFF M.D. NPI 1336438332

NPI Information

NPI: 1336438332
Provider Name: DR. JENNIFER LYNN FEDOROFF, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361
Phone: (503) 494-8211
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DR. Jennifer Lynn Fedoroff, M.D. is a pediatrics in Scottsbluff, NE. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jennifer Lynn Fedoroff, M.D. NPI is 1336438332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361-602
Phone: (503) 494-8211

The enumeration date for this NPI number is 3/31/2011 and was last updated on 10/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program			No
2	208000000X	Pediatrics	PG163242	OREGON	No
3	208000000X	Pediatrics	28521	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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