Individual
JESSICA ASHLI CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 W 11TH ST, ROOM 4070, INDIANAPOLIS, IN 46202-4108
(317) 491-6350
(317) 491-6411
Mailing address
350 W 11TH ST, ROOM 4070, INDIANAPOLIS, IN 46202-4108
(317) 491-6350
(317) 491-6411
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
48403
KY
Other
Enumeration date
05/01/2009
Last updated
09/22/2015
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