Individual
JACKSON A TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 BARNHILL DR, INDIANAPOLIS, IN 46202-5126
(317) 274-8282
Mailing address
2030 N DELAWARE ST APT 3, INDIANAPOLIS, IN 46202-1554
(317) 691-9130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01093726A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2022
Last updated
07/17/2024
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