Individual
JESSICA LYNN NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 488-8000
(765) 448-8085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28204198A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007392A
IN
Other
Enumeration date
09/25/2017
Last updated
08/16/2019
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