Individual
MADISON ELIZABETH MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S ROGERS ST, BLOOMINGTON, IN 47403-4792
(812) 339-6434
(812) 331-0196
Mailing address
1200 S ROGERS ST, BLOOMINGTON, IN 47403-4792
(812) 339-6434
(812) 331-0196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005213A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
04/03/2026
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