Individual
JENNIFER NIDIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2780
(812) 238-4813
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2780
(812) 238-4813
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013023A
IN
363LF0000X
Family Nurse Practitioner
71013023A
IN
Other
Enumeration date
09/06/2022
Last updated
02/20/2024
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