Provider Demographics
NPI:1730070251
Name:INDINGARO, JENNA MARIE (BSN)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:INDINGARO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 MONTEIGNE DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4443
Mailing Address - Country:US
Mailing Address - Phone:603-391-5804
Mailing Address - Fax:
Practice Address - Street 1:640 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65897-3402
Practice Address - Country:US
Practice Address - Phone:417-836-5039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program