Individual
JENNA M RICKENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4015 GATEWAY BLVD, NEWBURGH, IN 47630-8925
(812) 858-6244
(812) 858-6240
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28220757A
IN
363L00000X
Nurse Practitioner
Primary
71010296A
IN
Other
Enumeration date
07/28/2020
Last updated
08/27/2020
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