# JAMIE RUDICEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285929059
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28165041A | IN | — |
| 363L00000X | Nurse Practitioner | 71003706A | IN | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 041502665 | IL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 209022605 | IL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 71003706A | IN | — |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 01/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000731151 | ANTHEM PROVIDER NUMBER | IN |
| 05 | — | 201034850 | — | IN |