Individual
JEANNA RAE MIDDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
711 GREEN RD, MADISON, IN 47250-2143
(812) 767-2371
Mailing address
222 NORRIS AVE, NORTH VERNON, IN 47265-2036
(812) 767-2371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71011895A
IN
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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