Individual
DR. JENNIFER ANN ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
575 WEST DR, XE 040, INDIANAPOLIS, IN 46202-5272
(317) 944-4000
(317) 944-3622
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
01060483
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947250
—
IN
Enumeration date
05/14/2007
Last updated
02/25/2014
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