Healthcare Provider Details

I. General information

NPI: 1700699725
Provider Name (Legal Business Name): JENNY LYNN TERRY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNY LYNN FRANCIS

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 18TH ST STE 210
COLUMBUS IN
47201-5362
US

IV. Provider business mailing address

10483 N COUNTY ROAD 750 W
FREETOWN IN
47235-9751
US

V. Phone/Fax

Practice location:
  • Phone: 812-372-8680
  • Fax:
Mailing address:
  • Phone: 812-528-1236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71016264A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: