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Individual

JESSICA HAVILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 E. STATE ROAD, SHELBYVILLE, IN 46176-1846
(931) 253-1110
Mailing address
500 E BAILI CT, GREENSBURG, IN 47240-8686
(812) 614-3248

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009804A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71009804A
IN

Other

Enumeration date
02/18/2020
Last updated
08/17/2023
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