Cothron, Jennifer

Cothron, Jennifer is an individual health care provider with primary practice located at 333 E County Line Rd , Greenwood IN 46143-1079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Cothron, Jennifer can be contacted via phone (317) 497-6800.

Contact Information

Primary practice address
333 E County Line Rd Greenwood IN 46143-1079
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 28188603A Indiana

Profile Details

NPI number 1376999516
LBN Legal business name Cothron, Jennifer
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated Nov 27th, 2023 - about last year

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 1376999516 NPPES
Indiana MEDICAID 201394830
Indiana Other P01723962

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