Coddington, Jennifer Ann

Coddington, Jennifer Ann is an individual health care provider with primary practice located at 502 N University St Johnson Hall Rm B-5, West Lafayette IN 47907-2069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Coddington, Jennifer Ann can be contacted via phone (765) 494-6341.

Contact Information

Primary practice address
502 N University St Johnson Hall Rm B-5 West Lafayette IN 47907-2069
Phone: (765) 494-6341
Fax: (765) 496-1022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71000722A Indiana

Profile Details

NPI number 1346209392
LBN Legal business name Coddington, Jennifer Ann
Credentials DNP, MSN, RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Aug 6th, 2009 - about 17 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 1346209392 NPPES
Indiana MEDICAID 200299820
Indiana Other 9397700
Indiana Other 000000351155

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