| Doctor Name: | JENNIFER L SNYDER |
| NPI Number: | 1770573040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 71000693A |
| Business Practice Address: | 8984 E Us Highway 20 New Carlisle, IN - 465529038 |
| Business Phone Number: | 5746548490 |
| Business Fax Number: | 5746543643 |
| Mailing Address: | 8984 E Us Highway 20, NEW CARLISLE |
| State: | IN |
| Postal Code: | 465529038 |
| Phone Number: | 5746548490 |
| Fax Number: | 5746543643 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71000693A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |