Jenette Marie Stark
Peer Specialist · Greenville, OH
NPI number
1114659653
Practice location
209 E 4TH StGreenville, OH 45331-1939
- Phone
- (567) 371-4418
NPI record
- NPI
- 1114659653
- Entity type
- Individual (Type 1)
- Enumeration date
- June 24, 2022
- Last updated
- June 24, 2022
- Certified
- June 22, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
530 S Main StLima, OH 45804-1240
- Phone
- (576) 371-4418
About Jenette Stark
Jenette Marie Stark is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 209 E 4TH St, Greenville, OH 45331-1939. The NPI number 1114659653 was assigned on June 24, 2022 and the record was last updated on June 24, 2022.
Frequently asked questions
What is the NPI number of Jenette Marie Stark?
The NPI number is 1114659653.
What is the phone number of Jenette Stark?
The phone number listed for the practice location is (567) 371-4418.
Where is Jenette Stark located?
209 E 4TH St, Greenville, OH 45331-1939.
What is the taxonomy code for Jenette Stark?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Peer Specialist providers in Greenville
- Collette Renee Welch, CPRS600 Walnut St
- Tracie Copeland-Shuff600 Walnut St
- Kayla Browning, CERTIFIED PEER RECOV600 Walnut St