Provider Demographics
NPI:1760718530
Name:RAUSCHER, JANE E (PNP-C)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:RAUSCHER
Suffix:
Gender:F
Credentials:PNP-C
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:E
Other - Last Name:JACKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1510
Mailing Address - Country:US
Mailing Address - Phone:812-858-3131
Mailing Address - Fax:812-858-3140
Practice Address - Street 1:4209 GATEWAY BLVD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630
Practice Address - Country:US
Practice Address - Phone:812-858-3131
Practice Address - Fax:812-858-3140
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000178A363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner