Individual
JENNIFER RENEE GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2026 N EWING ST, SEYMOUR, IN 47274-3480
(812) 524-3333
(812) 524-3334
Mailing address
2026 N EWING ST, SEYMOUR, IN 47274-3480
(812) 524-3333
(812) 524-3334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000450A
HEALTH PROFESSIONS BUREAU
IN
01
—
1000450A
INDIANA LICENSE
IN
Enumeration date
07/31/2006
Last updated
01/17/2024
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