Basic Information
| Provider Information | |||||||||
| NPI: | 1528276672 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NINEVEH HENSLEY JACKSON UNITED SCHOOL CORP. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 802 S INDIAN CREEK DR | ||||||||
| Address2: | |||||||||
| City: | TRAFALGAR | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461818732 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 802 S INDIAN CREEK DR | ||||||||
| Address2: | |||||||||
| City: | TRAFALGAR | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461818732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178782100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ADKINS | ||||||||
| AuthorizedOfficialFirstName: | BRENDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CORP. SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 3178782100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251300000X | Y | Agencies | Local Education Agency (LEA) |
No ID Information.