Provider Demographics
NPI:1336937879
Name:STENGER, JAMISON ZOE (MSAT)
Entity type:Individual
Prefix:
First Name:JAMISON
Middle Name:ZOE
Last Name:STENGER
Suffix:
Gender:
Credentials:MSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PALMER WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3623
Mailing Address - Country:US
Mailing Address - Phone:203-444-2531
Mailing Address - Fax:
Practice Address - Street 1:3800 VICTORY PKWY UNIT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1092
Practice Address - Country:US
Practice Address - Phone:203-444-2531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program