Individual
JENNIFER O'DOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12800 MISSISSIPPI PKWY STE B201, CROWN POINT, IN 46307-6902
(219) 663-7000
(219) 663-8621
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28176968A
IN
Other
Enumeration date
04/03/2015
Last updated
10/13/2023
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