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
Fax: (317) 962-2070
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528435427 NPPES
Indiana MEDICAID 201320970

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