Provider Demographics
NPI:1285971044
Name:CIMPERMAN, JENNFER S (LPN)
Entity type:Individual
Prefix:
First Name:JENNFER
Middle Name:S
Last Name:CIMPERMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 MISHLER LN NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-3949
Mailing Address - Country:US
Mailing Address - Phone:330-407-4709
Mailing Address - Fax:
Practice Address - Street 1:413 MISHLER LN NE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-3949
Practice Address - Country:US
Practice Address - Phone:330-407-4709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.145384-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse