MRS. ELIZABETH A. JERNAGAN (NPI# 1780988428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780988428 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH A. JERNAGAN |
| Credential | MSN, RN |
| Practice Address |
315 W Old Key Dr Peru IN 46970-9057 |
| Mailing Address |
315 W Old Key Dr Peru IN 46970 |
| Practice Telephone | 7654756963 |
| Mailing Telephone | 7654756963 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003534 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 28151141A | IN | Student, Health Care |
| Street Address |
315 W OLD KEY DR |
| City | PERU |
| State | IN |
| Zip Code | 46970-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602062 | William Charles Hoover | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-06-28 |
| 1346621000 | Lisa Ann Jones | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2015-06-17 |
| 1558661744 | Doris M Carden | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2010-10-22 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1003140419 | Alliance Healthcare Services Inc | Clinic/Center | 315 W Old Key Dr, Peru, IN 46970-9057 | 2009-10-01 |
| 1629247028 | Cancer Care Group, P.C. | Radiology | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9057 | 2008-02-29 |
| 1730266602 | Lavonne Eddy | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1255418125 | Lloyd Lorenz | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1134206014 | Michael Mull | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1013094994 | Heather Weber | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481175 | Veronica Spangler | Nurse Practitioner | 1910 Plum St, Peru, IL 61354-1851 | 2020-09-11 |
| 1588153746 | Casey Lynn Hill | Nurse Practitioner | 661 E Main St Ste B, Peru, IN 46970-2662 | 2018-05-03 |
| 1831443977 | Denise Marie Brehmer | Nurse Practitioner | 315 W Old Key Dr Ste 150, Peru, IN 46970-9001 | 2012-10-26 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| 1538314356 | Katina A Everding | Nurse Practitioner | 2484 S Business 31, Suite C, Peru, IN 46970-7312 | 2008-11-20 |
| 1518136001 | Adirondack Medical Practice LLC | Nurse Practitioner | 3384 Rt 22, Peru, NY 12972 | 2008-02-28 |
| 1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
| 1063411072 | Rhoda L Wicker | Nurse Practitioner | 275 W 12th St, Suite 103, Peru, IN 46970-1638 | 2005-07-20 |
| 1124625926 | Jay Lee Hoeksema | Nurse Practitioner | 661 E Main St, Peru, IN 46970-2662 | 2020-10-05 |
| 1376183467 | Michelle R Lehn | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2020-01-07 |
| Find all providers in PERU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.