Individual
JENNA EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 944-7701
Mailing address
63247 CEDAR RD, MISHAWAKA, IN 46544-9759
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28243310A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71015625A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300096464
—
IN
Enumeration date
09/02/2024
Last updated
11/20/2025
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