Individual
MR. JESSE MARTIN HERRMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
Mailing address
6206 CATALINA DR, INDIANAPOLIS, IN 46259-1703
(317) 902-0700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014691A
IN
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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