Individual
JACQUILINE N GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3830 E SOUTHPORT RD STE 800, INDIANAPOLIS, IN 46237-3265
(317) 809-3755
Mailing address
3830 E SOUTHPORT RD STE 800, INDIANAPOLIS, IN 46237-3265
(131) 780-9375
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71005524A
IN
363LA2200X
Adult Health Nurse Practitioner
APRN9483846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100277200
—
FL
05
—
201293510
—
IN
Enumeration date
03/24/2015
Last updated
09/22/2023
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