JENNIFFER LEE PRICE NP NPI 1881160885

NPI Information

NPI: 1881160885
Provider Name: JENNIFFER LEE PRICE, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 483-9081
Get Directions

Jenniffer Lee Price, NP is a gerontology nurse practitioner in Fort Wayne, IN with 6 years of experience. Jenniffer Lee Price, NP NPI is 1881160885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815-631
Phone: (260) 483-9081
Fax: (260) 483-9196

The NPI 1881160885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2018 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	025845	OHIO	No
2	363LG0600X	Nurse Practitioner	Gerontology	71008392A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71008392A	OTHER	INDIANA	INDIANA STATE LICENSE
2	025845	OTHER	OHIO	OHIO STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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