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Jennifer Vandivier
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Indiana
NPI 1205506557

Jennifer Vandivier is a Psychiatric/Mental Health Nurse Practitioner based in Lafayette, IN and is specialized in Psychiatric/Mental Health. Jennifer Vandivier practices in Lafayette, IN. The NPI Number for Jennifer Vandivier is 1205506557 and holds a License No. 71011539A (Indiana).

The current practice location address for Jennifer Vandivier is 415 N 26Th St Ste 102, Lafayette, IN and can be reached out via phone at 765-446-6562.

Location: 415 N 26Th St Ste 102, Lafayette, IN, 47904-2855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205506557
Provider Name
Jennifer Vandivier
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 N 26Th St Ste 102, Lafayette, IN, 47904-2855
Phone Number
765-446-6562
Fax Number
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 N 26Th St Ste 102
City
Lafayette
State
Indiana
Zip
47904-2855
Phone Number
765-446-6562
Fax Number
person
Provider Business Mailing Address Details
Address
415 N 26Th St Ste 102
City
Lafayette
State
Indiana
Zip
47904-2855
Phone Number
765-446-6562
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
71011539A (Indiana)
Definition
Definition to come...
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