Individual
JACLYN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7440 WOODLAND DR, INDIANAPOLIS, IN 46278-1720
(800) 444-8990
Mailing address
1300 EAST 86TH STREET, SUITE 14, #202, INDIANAPOLIS, IN 46240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28205127A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912199415
—
IN
Enumeration date
07/10/2019
Last updated
07/10/2019
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