Individual
STACEY JAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8405 CLEARVISTA PL, INDIANAPOLIS, IN 46256-3737
(317) 578-7500
Mailing address
8405 CLEARVISTA PL, INDIANAPOLIS, IN 46256-3737
(317) 578-7500
(317) 578-7533
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28212090A
IN
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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