Individual
JENNIFER E MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 12816, BELFAST, ME 04915-4019
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28144791
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71002504A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000591985
ANTHEM PROVIDER NUMBER
IN
05
—
200910670
—
IN
Enumeration date
10/09/2007
Last updated
02/24/2026
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