Individual
JESSICA DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 MARGARET AVENUE, TERRE HAUTE, IN 47802-3950
(612) 225-1512
Mailing address
670 MARGARET AVENUE, TERRE HAUTE, IN 47802-3950
(612) 225-1512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002820A
IN
Other
Enumeration date
12/17/2008
Last updated
04/20/2015
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