Organization · Type 2 NPI
Jennswood Enterprise LLC
Multi-Specialty Clinic/Center · Lafayette, IN
NPI number
1023859436
Active
Practice location
100 Executive Dr Ste D
Lafayette, IN 47905-4863
Fax (765) 548-4332
Mailing address
7611 S 350 E
Lafayette, IN 47909-8112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
Other multi-specialty clinic/center providers in Lafayette
About NPI 1023859436
Jennswood Enterprise LLC's National Provider Identifier is 1023859436, issued on Jun 3, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Lafayette, IN. The record was last updated on Mar 16, 2025.