Individual
JEANIE MARIE DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1263 HOSPITAL DR NW STE 105, CORYDON, IN 47112-2173
(812) 738-4251
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-4251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009209
KY
363L00000X
Nurse Practitioner
Primary
71005041A
IN
363LF0000X
Family Nurse Practitioner
28162047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201253090
—
IN
05
—
7100351040
—
KY
Enumeration date
06/30/2014
Last updated
02/16/2023
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