Individual
JILL SLUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1401 MEMORIAL AVE STE C, WASHINGTON, IN 47501-3154
(812) 254-8856
(812) 254-4831
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
(812) 257-8062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28223762A
IN
208600000X
Surgery Physician
Primary
71011426A
IN
363LF0000X
Family Nurse Practitioner
71011426A
IN
Other
Enumeration date
06/29/2021
Last updated
04/23/2024
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