Pike, Jennie L.

Pike, Jennie L. is an individual health care provider with primary practice located at 702 Barnhill Dr Roc 4340, Indianapolis IN 46202-5128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pike, Jennie L. can be contacted via phone (317) 274-5611.

Contact Information

Primary practice address
702 Barnhill Dr Roc 4340 Indianapolis IN 46202-5128
Phone: (317) 274-5611
Fax: (317) 274-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28071900 Indiana

Profile Details

NPI number 1407179443
LBN Legal business name Pike, Jennie L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2010
Last updated Mar 4th, 2010 - about 15 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 1407179443 NPPES
Indiana MEDICAID 200291240

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