Mrs. Jessica Tennille Duerksen
Nurse Practitioner - Pediatrics
3400 Lafayette Rd Suite 200
Indianapolis
, Indiana 46222-1146
Mrs. Jessica Tennille Duerksen
Nurse Practitioner - Pediatrics
3400 Lafayette Rd Suite 200
Indianapolis
, Indiana 46222-1146
(317) 291-7422
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Jessica Tennille Duerksen
- 3400 Lafayette Rd Suite 200
- Indianapolis, IN
- Zip : 46222-1146
- Phone : (317) 291-7422
Second Address
- Mrs. Jessica Tennille Duerksen
- 3400 Lafayette Rd Suite 200
- Indianapolis, IN
- Zip : 46222-1146
- Phone : (317) 291-7422
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 71005672A | IN |
National Provider Identifier
| NPI | 1013384361 |
|---|---|
| Provider Name | Mrs. Jessica Tennille Duerksen |
| First Address | Indianapolis, IN 46222-1146 |
| Second Address | Indianapolis, IN 46222-1146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2015 |
| Last Update Date | 08/01/2016 |
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.