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NPI Code Detail

MEDICARE: MRS. MELINDA JANE ROGERS CFNP

MEDICARE: MRS. MELINDA JANE ROGERS CFNP
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
1363L00000XNurse Practitioner71000596AIN
2363LF0000XFamily Nurse Practitioner71000596AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609894435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA JANE ROGERS CFNP
Provider Business Mailing Address
First Line : 7715 BAYRIDGE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-9090
Country : US
Telephone Number : 317-979-4034
Fax Number : 317-641-7984
Provider Business Practice Location Address
First Line : 11020 PENDLETON PIKE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-2817
Country : US
Telephone Number : 317-855-6010
Fax Number : 317-826-6281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 04/04/2012

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