Individual
ERIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 W 34TH ST, INDIANAPOLIS, IN 46208-4551
(317) 506-8646
Mailing address
1446 W 34TH ST, INDIANAPOLIS, IN 46208-4551
(317) 506-8646
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
IN
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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