Jennifer Lynn Ulliman
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine
306 W Main St Ste 512
Frankfort
, Kentucky 40601-1840
Jennifer Lynn Ulliman
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine
306 W Main St Ste 512
Frankfort
, Kentucky 40601-1840
(574) 546-1999
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jennifer Lynn Ulliman
- Po Box 10299
- Fort Wayne, IN
- Zip : 46851-0299
- Fax : (574) 546-1999
- Phone : (574) 546-1900
Second Address
- Jennifer Lynn Ulliman
- 306 W Main St Ste 512
- Frankfort, KY
- Zip : 40601-1840
- Fax : (574) 546-1999
- Phone : (574) 546-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3016018 | KY |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 71011206A | IN |
| N | 363LG0600X | Nurse Practitioner - Gerontology | AP142506 | TX |
National Provider Identifier
| NPI | 1083268528 |
|---|---|
| Provider Name | Jennifer Lynn Ulliman |
| First Address | Fort Wayne, IN 46851-0299 |
| Second Address | Frankfort, KY 40601-1840 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2019 |
| Last Update Date | 23/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.