DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER LYNN FEDOROFF, M.D.

Active

DR. JENNIFER LYNN FEDOROFF, M.D. is a Pediatrics healthcare provider located in SCOTTSBLUFF, Nebraska. NPI 1336438332 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SCOTTSBLUFF, NE

Registration Details

NPI Number
1336438332
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2011 (15.400470987201 yrs)
Last Updated
Oct 19, 2016
Licenses
PG163242 (OR)
28521 (NE)

Practice Information

Address
4021 AVENUE B
SCOTTSBLUFF, NE, 693614602
Browse NE providers · Browse ZIP 69361
Phone
5034948211
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in SCOTTSBLUFF, NE

Name Credential NPI
DR. CYNTHIA GUERUE M.D. 1740295435
MASOOD KHAN M.D. 1003822941
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.