Connell, Jennifer L

Connell, Jennifer L is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr208, Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Connell, Jennifer L can be contacted via phone (317) 274-4715.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr208 Indianapolis IN 46202-5109
Phone: (317) 274-4715
Fax: (317) 274-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 28145107 Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 71006269 Indiana

Profile Details

NPI number 1366892192
LBN Legal business name Connell, Jennifer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Feb 4th, 2021 - about 3 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 1366892192 NPPES
Indiana MEDICAID 201397910

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