Individual
JESSICA ANN MARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C
Contact information
Practice address
13500 N MERIDIAN ST, CARMEL, IN 46032-1456
(317) 582-7000
Mailing address
13500 N MERIDIAN ST, CARMEL, IN 46032-1456
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10000715A
IN
207RI0011X
Interventional Cardiology Physician
10000715A
IN
363A00000X
Physician Assistant
10000715A
IN
363AM0700X
Medical Physician Assistant
Primary
10000715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559016
ANTHEM
IN
Enumeration date
03/20/2007
Last updated
08/03/2023
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