Healthcare Provider Details

I. General information

NPI: 1235830407
Provider Name (Legal Business Name): JENNIFER LEE VEECK MSN, RN, AMB-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 WATERFORD BLVD
EVANSVILLE IN
47715-2869
US

IV. Provider business mailing address

6211 WATERFORD BLVD
EVANSVILLE IN
47715-2869
US

V. Phone/Fax

Practice location:
  • Phone: 812-465-6202
  • Fax: 812-474-3696
Mailing address:
  • Phone: 812-465-6202
  • Fax: 812-474-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number28160323A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: