Individual
JENNA ELIZABETH BEDNARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 ROME DR STE B, LAFAYETTE, IN 47905-4490
(765) 607-6160
(765) 607-6161
Mailing address
3741 ROME DR STE B, LAFAYETTE, IN 47905-4490
(765) 607-6160
(765) 607-6161
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28228337A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28228337A
RN LICENSE
IN
Enumeration date
06/12/2018
Last updated
06/12/2018
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