Individual
JENNIFER R. HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIFE COACH
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
6694126
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241710A
—
IN
05
—
100322900
—
IN
Enumeration date
05/31/2019
Last updated
05/31/2019
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