Individual
JANE B PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9002 N MERIDIAN ST, INDIANAPOLIS, IN 46260-5381
(574) 268-9640
Mailing address
6 HAWTHORNE CT, BATESVILLE, IN 47006-9215
(812) 933-0116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28083465
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200495950
—
IN
Enumeration date
09/20/2006
Last updated
08/05/2015
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