Woodard, Jennifer L
Woodard, Jennifer L is an individual health care provider with primary practice located at 1115 N Ronald Reagan Pkwy Ste 141, Avon IN 46123-6913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Woodard, Jennifer L can be contacted via phone (317) 962-2929.Contact Information
Primary practice address
1115 N Ronald Reagan Pkwy Ste 141
Avon IN 46123-6913
Phone: (317) 962-2929
Fax: (317) 962-2070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 71005699A | Indiana |
Profile Details
NPI number | 1528435427 |
---|---|
LBN Legal business name | Woodard, Jennifer L |
Credentials | Clinical Nurse Specialist (CNS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2015 |
Last updated | Feb 24th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528435427 | NPPES |
Indiana | MEDICAID | 201320970 |
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