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

Mrs. Jennifer Lynn Midtlien, CNP

Individual provider Registered Nurse · NPI 1639489545

Mrs. Jennifer Lynn Midtlien, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2008, 18 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone: (937) 433-7536
Fax: (937) 433-9612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X · Licence 11935-NP (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN260615 (OH)

Record details

NPI number1639489545
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 13, 2010
Last updated in NPPESAugust 3, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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