Individual
DR. JENNIFER S. KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
(574) 222-2468
Mailing address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
(574) 222-2468
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02003907A
IN
2084P0800X
Psychiatry Physician
34.009659
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000727514
ANTHEM
IN
01
—
02003907A
OSTEOPATH PHYSICIAN LICENSE
IN
05
—
201032160
—
IN
Enumeration date
05/10/2007
Last updated
02/09/2018
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