Healthcare Provider Details

I. General information

NPI: 1376462416
Provider Name (Legal Business Name): JODY MARKSBERRY DNP, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 ORTHO LN STE 10
BROWNSBURG IN
46112-9354
US

IV. Provider business mailing address

7604 HICKORY RD
BROWNSBURG IN
46112-8582
US

V. Phone/Fax

Practice location:
  • Phone: 317-706-7246
  • Fax:
Mailing address:
  • Phone: 812-718-5058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number71018344A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number71018344A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: