Madlem, Jennifer Ann

Madlem, Jennifer Ann is an individual health care provider with primary practice located at 209 Florence Ave , Granger IN 46530-8048. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Madlem, Jennifer Ann can be contacted via phone (574) 246-1000.

Contact Information

Primary practice address
209 Florence Ave Granger IN 46530-8048
Phone: (574) 246-1000
Fax: (574) 246-4000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001526A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001526A Indiana

Profile Details

NPI number 1750455473
LBN Legal business name Madlem, Jennifer Ann
Credentials FNP, MSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 8th, 2015 - about 9 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 1750455473 NPPES
Indiana MEDICAID 200425160

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