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Jeri Dine, ANP
Nurse Practitioner in Beech Grove, Indiana
NPI 1366624728

Jeri Dine is a Nurse Practitioner based in Beech Grove, IN. Jeri Dine practices in Beech Grove, IN and has the professional credentials of ANP. The NPI Number for Jeri Dine is 1366624728 and holds a License No. 71000423A (Indiana).

The current practice location address for Jeri Dine is 1600 Albany St, Beech Grove, IN and can be reached out via phone at 317-859-1090 and via fax at 317-859-3322.

Location: 1600 Albany St, Beech Grove, IN, 46107-0100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366624728
Provider Name
Jeri Dine
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
1600 Albany St, Beech Grove, IN, 46107-0100
Phone Number
317-859-1090
Fax Number
317-859-3322
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011953-21 01 IN NP CERTIFICATION
000000041022 01 IN M PLAN
35-4994904 01 IN TID
P00068634 01 IN RR MEDICARE
11478722 01 IN CAQH
28065854A 01 IN RN LICENSE
71000423B 01 IN CSR
000000550394 01 IN ANTHEM
200307870 05 IN
institution
Provider Business Practice Location Address Details
Address
1600 Albany St
City
Beech Grove
State
Indiana
Zip
46107-1541
Phone Number
317-859-1090
Fax Number
317-859-3322
person
Provider Business Mailing Address Details
Address
1600 Albany St
City
Beech Grove
State
Indiana
Zip
46107-1541
Phone Number
317-859-1090
Fax Number
317-859-3322
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71000423A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71000423A (Indiana)
Definition
Definition to come...
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