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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