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Individual

JENNIFER R HERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-7040
(812) 485-7042
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01062489A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200853140
IN
Enumeration date
08/30/2006
Last updated
01/11/2024
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