NPI: 1710185319 · JASPER, IN 47546 · Family Medicine Physician · NPI assigned 07/05/2007
| Authorized Official | RICHARDSON, JENNIFER (PRESIDENT) |
| NPI Enumeration Date | 07/05/2007 |
Other providers sharing the same authorized official: RICHARDSON, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| PERRY COUNTY BOARD OF EDUCATION | LINDEN | TN | $30K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $293.06 |
| 2019 | 14 | $49.66 |
| 2020 | 26 | $342.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 66 | 54 | $685.32 |