JENNIFER DALEY HERRERA NURSE PRACTIONER NPI 1861701609

NPI Information

NPI: 1861701609
Provider Name: JENNIFER DALEY HERRERA, NURSE PRACTIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9445 INDIANAPOLIS BLVD # 1221
HIGHLAND, IN
ZIP 46322
Phone: (219) 595-8077
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Jennifer Daley Herrera, NURSE PRACTIONER is a family nurse practitioner in Highland, IN. Jennifer Daley Herrera, NURSE PRACTIONER NPI is 1861701609. 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:

9445 INDIANAPOLIS BLVD # 1221
HIGHLAND, IN
ZIP 46322-648
Phone: (219) 595-8077
Fax: (219) 209-5582

The enumeration date for this NPI number is 9/28/2010 and was last updated on 1/15/2024.

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	363LF0000X	Nurse Practitioner	Family	277.001826	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	11028179	FLORIDA	No
3	363LW0102X	Nurse Practitioner	Women's Health	RNP268968	ARIZONA	No
4	363LW0102X	Nurse Practitioner	Women's Health	11028179	FLORIDA	No
5	363LW0102X	Nurse Practitioner	Women's Health	277.001826	ILLINOIS	No
6	363LW0102X	Nurse Practitioner	Women's Health	71003588A	INDIANA	No
7	363LF0000X	Nurse Practitioner	Family	71003588A	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	201244100	MEDICAID	INDIANA

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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