Individual
JENNIFER MARIE SPORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-7728
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG09200205
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011253A
IN
Other
Enumeration date
07/05/2021
Last updated
02/16/2026
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