Jennifer Lynne English, P.T

Individual provider Active NPI Nursing Facility/Intermediate Care Facility · West Lafayette Bra, IN

NPI 1104034875 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104034875
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
05003616A (IN)
Practice address
3401 Soldiers Home Rd
West Lafayette Bra, IN 47906-1222
Phone
(765) 463-1541
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 05003616A IN Yes

Addresses

Primary practice location

3401 Soldiers Home Rd
West Lafayette Bra, IN 47906-1222

Mailing address

2968 Cajun CT
Lafayette, IN 47909-6780
Phone (765) 477-6779

Other providers in West Lafayette Bra, IN

All providers in West Lafayette Bra, IN · Nursing Facility/Intermediate Care Facility in Indiana

Sources for this page

Verify at the official NPI Registry.