Individual
JENNIFER J FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1629 MEDICAL ARTS BLVD, SUITE 200, ANDERSON, IN 46011-3454
(765) 298-5439
(765) 298-4920
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(765) 298-4449
(765) 298-4950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352830
—
IN
Enumeration date
07/20/2006
Last updated
11/27/2023
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