Individual
JENNIFER DALEY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
9445 INDIANAPOLIS BLVD # 1221, HIGHLAND, IN 46322-2648
(219) 595-8077
(219) 209-5582
Mailing address
9445 INDIANAPOLIS BLVD # 1221, HIGHLAND, IN 46322-2648
(219) 595-8077
(219) 209-5582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11028179
FL
363LF0000X
Family Nurse Practitioner
277.001826
IL
363LF0000X
Family Nurse Practitioner
Primary
71003588A
IN
363LW0102X
Women's Health Nurse Practitioner
11028179
FL
363LW0102X
Women's Health Nurse Practitioner
277.001826
IL
363LW0102X
Women's Health Nurse Practitioner
71003588A
IN
363LW0102X
Women's Health Nurse Practitioner
RNP268968
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201244100
—
IN
Enumeration date
09/28/2010
Last updated
01/15/2024
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