| Jordan Ryley, NP | |
|
777 S Main St, Clinton, IN 47842-2493 | |
| (765) 828-1003 | |
| (765) 828-1030 |
| Full Name | Jordan Ryley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 777 S Main St, Clinton, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184162737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28191337A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71006979A (Indiana) | Primary |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Ryley, NP 777 S Main St, Clinton, IN 47842-2493 Ph: (765) 828-1003 | Jordan Ryley, NP 777 S Main St, Clinton, IN 47842-2493 Ph: (765) 828-1003 |
Kara Jean Wilson, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1764 E. State Route 163, Clinton, IN 47842 Phone: 765-820-2120 | |
Debra A Vincent, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 S Main St, Ste 200, Clinton, IN 47842 Phone: 765-828-0750 Fax: 765-828-0753 | |
Michelle K Miller, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003 | |
Donna Marie Kerns, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003 Fax: 765-828-1030 | |
Amber Denise Pitts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003 Fax: 765-828-1030 | |
Veda Jo Gregory, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 819 S 3rd St, Clinton, IN 47842 Phone: 765-832-2464 Fax: 765-832-1638 | |
Jeanie Mae Kent, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Main St, Clinton, IN 47842 Phone: 765-505-5200 |