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NPI Code Detail

MEDICARE: MR. JEFFREY F HANDY FNP

MEDICARE: MR. JEFFREY F HANDY FNP
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
1363LF0000XFamily Nurse Practitioner71002166AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171002166BOTHERINCSR
228144412AOTHERINRN
371002166AOTHERINNURSE PRACTITIONER

General Provider Information

NPI Number : 1306882204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY F HANDY FNP
Provider Business Mailing Address
First Line : 8991 SHELBURNE WAY
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-8529
Country : US
Telephone Number : 317-769-0036
Fax Number :
Provider Business Practice Location Address
First Line : 1466 W OAK ST
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1800
Country : US
Telephone Number : 317-873-6438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 03/07/2023

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