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

Mrs. Jennifer Sundstrom, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1528420650

Mrs. Jennifer Sundstrom, CNP is a Nurse Practitioner in Kettering, Ohio. Qualified in 2015, 11 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3737 Southern Blvd Ste 2000
Kettering, OH 45429-1285
Phone: (937) 228-4126
Fax: (937) 228-0247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN.273729 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN.273729 (OH)

Record details

NPI number1528420650
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedMarch 28, 2016
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Kettering