Berry, Jennifer M

Berry, Jennifer M is an individual health care provider with primary practice located at 7979 N Shadeland Ave Ste 200, Indianapolis IN 46250-2042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Berry, Jennifer M can be contacted via phone (317) 621-4300.

Contact Information

Primary practice address
7979 N Shadeland Ave Ste 200 Indianapolis IN 46250-2042
Phone: (317) 621-4300
Fax: (317) 621-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003783A Indiana

Profile Details

NPI number 1366681488
LBN Legal business name Berry, Jennifer M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2009
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366681488 NPPES
Indiana Other 000000737269 ANTHEM
Indiana Other 9697442 ANTHEM
Indiana Other P01751211 ANTHEM
Indiana MEDICAID 201039870 ANTHEM
Indiana Other P01157117 ANTHEM

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