Rudicel, Jamie
Rudicel, Jamie is an individual health care provider with primary practice located at 1116 N 16Th St Suite A, Lafayette IN 47904-2119. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rudicel, Jamie can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
1116 N 16Th St Suite A
Lafayette IN 47904-2119
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71003706A | Indiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 28165041A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 041502665 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209022605 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71003706A | Indiana |
Profile Details
| NPI number | 1285929059 |
|---|---|
| LBN Legal business name | Rudicel, Jamie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2011 |
| Last updated | Jun 20th, 2024 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285929059 | NPPES |
| Indiana | Other | 000000731151 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 201034850 | ANTHEM PROVIDER NUMBER |
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