Individual
JESSECA WARDWELL WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260
(317) 338-4600
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 948-9174
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008216A
IN
Other
Enumeration date
08/20/2018
Last updated
08/25/2022
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