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Jennswood Enterprise LLC — NPI 1023859436, Lafayette, IN | NPI Central

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NPI 1023859436

OrganizationActive

Jennswood Enterprise LLC

NPI 1023859436 · Multi-Specialty Clinic/Center · Lafayette, IN

Provider details

NPI number: 1023859436
Entity type: Organization
Primary specialty: Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jennifer Wood, Ceo(765) 586-4764

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300X
Ambulatory Health Care Facilities
Community/Behavioral Health Agency251S00000X
Agencies
Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Psychiatric/Mental Health Nurse Practitioner363LP0808X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

100 Executive Dr Ste D

Lafayette, IN 47905-4863

Phone: (765) 537-3880

Fax: (765) 548-4332

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

7611 S 350 E

Lafayette, IN 47909-8112

Other names (DBA / former)

Doing business as: Woodhaven Behavioral LLC
Doing business as: Woodhaven Behavioral LLC

Registry dates

Enumerated: 2024-06-03
Last updated: 2025-03-16
Certified: 2025-03-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.