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Individual

JENNIFER ANNE IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 842-2800
Mailing address
12801 JORDAN LN, DARMSTADT, IN 47725-9189
(812) 306-1690

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011720A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011720A.
IN

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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