Individual
DR. JENNIFER ANN CODDINGTON
Active
Individual
DR. JENNIFER ANN CODDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN, RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71000722A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351155
ANTHEM PROVIDER NUMBER
IN
05
—
200299820
—
IN
01
—
9397700
PHCS PID NUMBER
IN
Enumeration date
03/20/2006
Last updated
08/06/2009
Update your record
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