Individual
JENNIFER KAYE THAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
818 SHORT ST, BICKNELL, IN 47512-2818
(812) 910-1928
Mailing address
818 SHORT ST, BICKNELL, IN 47512-2818
(812) 910-1928
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28129144C
IN
251S00000X
Community/Behavioral Health Agency
28129144C
IN
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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