Individual
JESSE LYNNE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 621-5700
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012050A
IN
363LF0000X
Family Nurse Practitioner
F02210591
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266180K89
INDIVIDUAL MEDICARE PTAN
IN
01
—
Q00256342
RAILROAD MEDICARE PTAN
IN
Enumeration date
12/27/2021
Last updated
05/05/2022
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