Provider Demographics
NPI:1548004179
Name:MARKINS, JENNY KAY (NP-C)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:KAY
Last Name:MARKINS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ORTHOPAEDIC DR
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46582-3994
Mailing Address - Country:US
Mailing Address - Phone:574-372-5937
Mailing Address - Fax:574-372-7326
Practice Address - Street 1:700 ORTHOPAEDIC DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46582-3994
Practice Address - Country:US
Practice Address - Phone:574-372-5937
Practice Address - Fax:574-372-7326
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28185973A363LX0106X
IN71015846A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health