Individual
JESSICA A SHEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18051 RIVER RD, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
(317) 776-6095
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064115A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000623502
ANTHEM
IN
05
—
200868660
—
IN
Enumeration date
01/31/2007
Last updated
09/21/2020
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