Provider Demographics
NPI:1235836263
Name:SLECHTER, JENNIFER ALICE
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ALICE
Last Name:SLECHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ALICE
Other - Last Name:ISCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1664 LEE ANN DR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-1506
Mailing Address - Country:US
Mailing Address - Phone:419-979-8990
Mailing Address - Fax:
Practice Address - Street 1:1664 LEE ANN DR
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-1506
Practice Address - Country:US
Practice Address - Phone:419-979-8990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2992963Medicaid