| Doctor Name: | JESSICA MARIE DENO |
| NPI Number: | 1356613871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 71003845 |
| Business Practice Address: | 9529 W State Rd 56 French Lick, IN - 474329708 |
| Business Phone Number: | 8129362425 |
| Business Fax Number: | 8129362599 |
| Mailing Address: | Po Box 270, PAOLI |
| State: | IN |
| Postal Code: | 474540270 |
| Phone Number: | 8127237119 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2012 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |