Provider Demographics
NPI:1487943742
Name:BYRNES, JENIFER NICOLE (DO)
Entity type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:NICOLE
Last Name:BYRNES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JENIFER
Other - Middle Name:NICOLE
Other - Last Name:LESSICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:95 ARCH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1494
Mailing Address - Country:US
Mailing Address - Phone:330-434-0543
Mailing Address - Fax:330-434-0599
Practice Address - Street 1:95 ARCH ST STE 220
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1494
Practice Address - Country:US
Practice Address - Phone:330-434-0543
Practice Address - Fax:330-434-0599
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293579207V00000X
OH34.014673207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology