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Individual

MR. JEFFERY HOWARD BARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
386 SYMMES CENTER DR STE 1, WINCHESTER, IN 47394-9402
(765) 586-6600
(765) 547-6503
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3127

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000348A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000296371
BC/BS #
IN
05
200229820
IN
05
2293629
OH
Enumeration date
08/03/2005
Last updated
03/15/2023
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