Individual
JACQUELINE S. NTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7910 E WASHINGTON ST STE 210, INDIANAPOLIS, IN 46219-6803
(317) 355-5437
(317) 355-9047
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-9312
(317) 621-6920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01071071
IN
208000000X
Pediatrics Physician
47602
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201069230
—
IN
Enumeration date
06/07/2009
Last updated
11/27/2023
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