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NPI Code Detail

MEDICARE: JENNIFER KAY BALTUS FNP-BC

MEDICARE: JENNIFER KAY BALTUS FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1558227884
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KAY BALTUS FNP-BC
Provider Business Mailing Address
First Line : 2100 25TH ST STE J
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3203
Country : US
Telephone Number : 812-375-3660
Fax Number :
Provider Business Practice Location Address
First Line : 2100 25TH ST STE J
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3203
Country : US
Telephone Number : 812-375-3660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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