Jessica Cherron New, PTA

Individual provider Active NPI Skilled Nursing Facility · Parker City, IN

NPI 1801100508 · NPPES record last updated Aug 5, 2010

Key facts

NPI
1801100508
Entity type
Individual (NPI type 1)
Primary specialty
Skilled Nursing Facility 314000000X
License
06003580A (IN)
Practice address
2225 N 1000 W
Parker City, IN 47368-9303
Phone
(765) 625-1628
NPI assigned
Aug 5, 2010
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)
No

State licenses

LicenseStateTypeSpecialty
06003580AINMDSkilled Nursing Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06003580A IN Yes

Addresses

Primary practice location

2225 N 1000 W
Parker City, IN 47368-9303

Mailing address

2225 N 1000 W
Parker City, IN 47368-9303
Phone (765) 625-1628

Other providers in Parker City, IN

All providers in Parker City, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.