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Organization
JANE PAULEY COMMUNITY HEALTH CENTER
Active
Organization
JANE PAULEY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MARIA SMITH N.P. (NURSE PRACTITIONER)
(317) 381-5252
Entity
Organization
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 381-5252
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 381-5252
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71005228A
IN
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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