Dr Jennifer Ann Coddington, DNP, MSN, RN, CPNP | |
502 N University St, Johnson Hall Rm B-5, West Lafayette, IN 47907-2069 | |
(765) 494-6341 | |
(765) 496-1022 |
Full Name | Dr Jennifer Ann Coddington |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 502 N University St, West Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346209392 | NPI | - | NPPES |
200299820 | Medicaid | IN | |
9397700 | Other | IN | PHCS PID NUMBER |
000000351155 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 71000722A (Indiana) | Primary |
Entity Name | Trustees Of Purdue University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Ann Coddington, DNP, MSN, RN, CPNP 502 N University St, Johnson Hall Rm B-5, West Lafayette, IN 47907-2069 Ph: (765) 494-6341 | Dr Jennifer Ann Coddington, DNP, MSN, RN, CPNP 502 N University St, Johnson Hall Rm B-5, West Lafayette, IN 47907-2069 Ph: (765) 494-6341 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Mrs. Ashley Nicole Hogan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 317-207-7413 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040 |