Mr Nathan Evan Jennings, is a
Student In An Organized Health Care Education/training Program based in Avon, Indiana. Mr Nathan Evan Jennings is licensed to practice in Indiana (license number ) and his current practice location is
221 Springwood Dr, Avon, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 517-6088.
NPI number for Mr Nathan Evan Jennings is 1316819626 and his current mailing address is 221 Springwood Dr, Avon, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316819626.
Provider's Profile
| Full Name | Mr Nathan Evan Jennings |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 221 Springwood Dr, Avon, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316819626
- Provider Enumeration Date: 09/18/2025
- Last Update Date: 11/17/2025
Medical Identifiers
Medical identifiers for Mr Nathan Evan Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316819626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 71017207A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nathan Evan Jennings is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Nathan Evan Jennings,
221 Springwood Dr,
Avon, IN 46123-8788
Ph: (317) 517-6088 | Mr Nathan Evan Jennings,
221 Springwood Dr,
Avon, IN 46123-8788
Ph: (317) 517-6088 |
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