Individual
JESSICA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2384
Mailing address
1481 W. 10TH STREET, INDIANAPOLIS, IN 46202
(317) 988-2384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28160914A
IN
Other
Enumeration date
08/24/2016
Last updated
02/22/2019
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