Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Kaye Long

Individual provider Nurse Practitioner · NPI 1972385698

Jennifer Kaye Long is a Nurse Practitioner in Middletown, Ohio. Qualified in 2023, 3 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

200 Medical Center Dr Ste 290
Middletown, OH 45005-2595
Phone: (513) 857-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7056 Corporate Way, Centerville, OH 45459-4274 — (937) 312-9144
  • 9001 N Main St Ste A, Dayton, OH 45415-1154 — (937) 832-0990

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0034993 (OH)

Record details

NPI number1972385698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address200 Medical Center Dr Ste 290, Middletown, OH 45005-2595

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown