Dickinson, Jennifer L

Dickinson, Jennifer L is an individual health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5166. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dickinson, Jennifer L can be contacted via phone (317) 880-8211.

Contact Information

Primary practice address
720 Eskenazi Ave Indianapolis IN 46202-5166
Phone: (317) 880-8211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 28157050A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 28157050A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002864A Indiana

Profile Details

NPI number 1073775961
LBN Legal business name Dickinson, Jennifer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jun 9th, 2017 - about 9 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 1073775961 NPPES
Indiana Other 000000604028 ANTHEM
Indiana MEDICAID 200931510 ANTHEM

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