Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LOPEZ
Active Sole ProprietorJENNIFER LOPEZ is a Supports Brokerage Agency healthcare provider located in MOGADORE, Ohio. NPI 1992307805 is currently active in the NPPES registry. Verify at CMS.
Supports Brokerage Agency · MOGADORE, OH
Registration Details
- NPI Number
- 1992307805
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2020 (5.7842961031256 yrs)
- Last Updated
- Nov 15, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
3078 STATE ROUTE 43MOGADORE, OH, 442609773Browse OH providers · Browse ZIP 44260
- Phone
- 9703141357
- Primary Specialty
-
Supports Brokerage Agency
251X00000X
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.