Individual
JENNIFER RACHELLE RADICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.-C
Contact information
Practice address
1263 HOSPITAL DR NW STE 280, CORYDON, IN 47112-2174
(812) 738-3086
Mailing address
PO BOX 7, CORYDON, IN 47112-0007
(812) 738-3086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001559A
IN
363L00000X
Nurse Practitioner
RN260019
GA
363LF0000X
Family Nurse Practitioner
Primary
71001559A
IN
Other
Enumeration date
02/13/2006
Last updated
02/27/2025
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