Individual
JENNIFER LYNN BALSAMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-6560
(317) 880-0333
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71011183A
LICENSE
IN
Enumeration date
06/14/2021
Last updated
01/31/2025
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