person
Ms. Dawn Renee Antle, NURSEPRACTITIONER
Family Nurse Practitioner in Jeffersonville, Indiana
NPI 1518181098

Dawn Renee Antle is a Family Nurse Practitioner based in Jeffersonville, IN and is specialized in Family. Dawn Renee Antle practices in Jeffersonville, IN and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Dawn Renee Antle is 1518181098 and holds a License No. 71002370A (Indiana).

The current practice location address for Dawn Renee Antle is 1804 E 10Th St, Jeffersonville, IN and can be reached out via phone at 812-288-2488 and via fax at 812-288-6603.

Location: 1804 E 10Th St, Jeffersonville, IN, 47130-6016
person
Provider Profile Details
NPI Number
1518181098
Provider Name
Dawn Renee Antle
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1804 E 10Th St, Jeffersonville, IN, 47130-6016
Phone Number
812-288-2488
Fax Number
812-288-6603
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K162790 01 KY MEDICARE PTAN
71002370A 01 IN LISENSURE NUMBER
3007389 01 KY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1804 E 10Th St
City
State
Zip
47130-6016
Phone Number
812-288-2488
Fax Number
812-288-6603
person
Provider Business Mailing Address Details
Address
1804 E 10Th St
City
State
Zip
47130-6016
Phone Number
812-288-2488
Fax Number
812-288-6603
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002370A (Indiana)
Definition
Definition to come...
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