Individual
JANE NANCY ABBOTT-RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000993A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200274240A
—
IN
Enumeration date
06/16/2006
Last updated
04/10/2019
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