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NPI Code Detail

MEDICARE: JENNIFER KRISTINE DAY CNS

MEDICARE: JENNIFER KRISTINE DAY CNS
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner70000179AIN
2364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist70000179AIN
3364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist70000179BIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000724769OTHERINANTHEM

General Provider Information

NPI Number : 1639142649
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KRISTINE DAY CNS
Provider Business Mailing Address
First Line : 6626 E 75TH STREET
Second Line : SUITE 500
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2040 NORTH SHADELAND AVENUE
Second Line : SUITE 200
City : INDIANAPOLIS
State : IN
Zip : 46219-1734
Country : US
Telephone Number : 317-355-1800
Fax Number : 317-355-1803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 11/27/2023

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Directions to “ JENNIFER KRISTINE DAY CNS” Practice Location

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