Individual
JASON L TRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002351A
IN
363LA2100X
Acute Care Nurse Practitioner
0024171234
VA
Other
Enumeration date
02/27/2007
Last updated
10/02/2025
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