Jennifer Kaye Long
Nurse Practitioner in Middletown, OH. Individual provider (NPI-1).
NPI number1972385698
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1972385698
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Kaye Long
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2023
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0034993 | OH | Yes |
Practice location
200 Medical Center Dr Ste 290Middletown, OH 45005-2595
Phone 513-857-3301
Mailing address
200 Medical Center Dr Ste 290Middletown, OH 45005-2595
Phone 513-857-3301
Other practice locations
9001 N Main St Ste A
Dayton, OH 45415-1154
Dayton, OH 45415-1154
Phone 937-832-0990
7056 Corporate Way
Centerville, OH 45459-4274
Centerville, OH 45459-4274
Phone 937-312-9144
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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