Individual
JENNIFER ANNE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5278
Mailing address
1117 CHESTNUT ST, COLUMBUS, IN 47201-5880
(812) 344-1105
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28285710A
IN
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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