Individual
MRS. JENNIFER LYNN RAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
655 E 900 N, WHEATFIELD, IN 46392-8228
(219) 771-1900
Mailing address
655 E 900 N, WHEATFIELD, IN 46392-8228
(219) 771-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014327A
IN
363LF0000X
Family Nurse Practitioner
71014327A
KS
Other
Enumeration date
09/18/2023
Last updated
10/02/2024
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