Jeri Dine is a Nurse Practitioner in Beech Grove, Indiana. Jeri Dine practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jeri Dine is 1366624728. The last update date is 2023-03-07.
Jeri Dine's current location address is Po Box 100, Beech Grove, Indiana. You can contact this provider via phone number 3178591090 and fax number 3178593322. The mailing address for Jeri Dine is Po Box 100, Beech Grove, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeri Dine |
|---|---|
| Address | Po Box 100, Beech Grove, Indiana |
| Phone Number | 3178591090 |
| Fax Number | 3178593322 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1366624728 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Beech Grove |
| State | Indiana (IN) |
| Post Code | 461070100 |
| Phone Number | 3178591090 |
| Fax Number | 3178593322 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71000423A |
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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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0011953-21 | IN | NP CERTIFICATION | |
| 41022 | IN | M PLAN | |
| 35-4994904 | IN | TID | |
| P00068634 | IN | RR MEDICARE | |
| 11478722 | IN | CAQH | |
| 28065854A | IN | RN LICENSE | |
| 71000423B | IN | CSR | |
| 550394 | IN | ANTHEM | |
| 200307870 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeri Dine by the Centers for Medicare & Medicaid Services?
The Jeri Dine has been assigned the NPI (National Provider Identifier) 1366624728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jeri Dine's facilities are situated?
The facilities of Jeri Dine are physically located at the following address: Po Box 100, Beech Grove, IN, 461070100.
What is Jeri Dine's area of expertise and its corresponding taxonomy classification?
The Jeri Dine's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1366624728 to Jeri Dine?
The Centers for Medicare & Medicaid Services assigned the 1366624728 to Jeri Dine on 2007-11-28.
When was the information regarding Jeri Dine most recently updated?
The details pertaining to the Jeri Dine, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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