Individual
JACOB MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-5261
Mailing address
2176 N COUNTY ROAD 850 E, GREENSBURG, IN 47240-8837
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28241590A
IN
Other
Enumeration date
06/17/2025
Last updated
06/24/2025
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