Provider Demographics
NPI:1134752546
Name:HAY, JEANETTE MARIE (NP-C)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:MARIE
Last Name:HAY
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 1:10303 BUTLER DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7437
Mailing Address - Country:US
Mailing Address - Phone:812-459-2603
Mailing Address - Fax:
Practice Address - Street 1:208 MEADOW DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1416
Practice Address - Country:US
Practice Address - Phone:317-718-0044
Practice Address - Fax:317-745-5219
Is Sole Proprietor?:No
Enumeration Date:2020-02-14
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009797A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily