Organization
LUNAMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE COX PMHNP/FNP (OWNER - CEO)
(812) 240-4446
Entity
Organization
Contact information
Practice address
5665 HALLIE RAE CT, TERRE HAUTE, IN 47802-8244
(812) 240-4446
Mailing address
5665 HALLIE RAE CT, TERRE HAUTE, IN 47802-8244
(812) 240-4446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001901
IN
Other
Enumeration date
05/23/2016
Last updated
08/02/2016
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