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Individual

JAMIE K. TITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8601 N KENTUCKY AVE, EVANSVILLE, IN 47725-6371
(812) 491-6772
(812) 491-0758
Mailing address
PO BOX 1165, N/A, EVANSVILLE, IN 47706-1165
(800) 467-2392
(812) 471-6650

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28179325A
IN
363L00000X
Nurse Practitioner
Primary
71003033A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200965650
IN
Enumeration date
08/20/2009
Last updated
11/13/2017
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