NPI 1336438332

Jennifer Lynn Fedoroff, MD

Practitioner Pediatrics Physician Scottsbluff, NE

Practice location

Address: 4021 Avenue B, Scottsbluff, NE 69361-4602
Phone: (503) 494-8211
Mailing address: 901 Peacock Dr, Scottsbluff, NE 69361-4901

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 28521 (NE)

Other Pediatrics providers in Nebraska →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Nebraska →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence PG163242 (OR)

Registry record

NPI: 1336438332
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2011
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.