Individual provider · Type 1 NPI

Jennifer Elaine Radabaugh, N.P.

Nurse Practitioner · Indianapolis, IN

NPI number 1114019924 Active

Practice location

8075 N Shadeland Ave, Suite 200
Indianapolis, IN 46250

Fax (317) 621-8501

Mailing address

6626 E 75th St, Suite 500
Indianapolis, IN 46250-2805

Other practice locations

  • 707 W 2nd St, Bloomington, IN 47403-2209 · (812) 334-5081

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28149139A (IN)
Nurse Practitioner Primary 363L00000X71002264A (IN)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114019924

Jennifer Elaine Radabaugh, N.P.'s National Provider Identifier is 1114019924, issued on Sep 29, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on May 15, 2025.