Provider Demographics
NPI:1376997338
Name:TRUMPLER, JENNA
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:TRUMPLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24384 PARKE LN
Mailing Address - Street 2:
Mailing Address - City:GROSSE ILE
Mailing Address - State:MI
Mailing Address - Zip Code:48138-1704
Mailing Address - Country:US
Mailing Address - Phone:734-552-0799
Mailing Address - Fax:
Practice Address - Street 1:24384 PARKE LN
Practice Address - Street 2:
Practice Address - City:GROSSE ILE
Practice Address - State:MI
Practice Address - Zip Code:48138-1704
Practice Address - Country:US
Practice Address - Phone:734-552-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other