Organization
JL CHENOWITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY CHENOWITH APRN (OWNER)
(317) 268-6555
Entity
Organization
Contact information
Practice address
4265 E MAIN ST, AVON, IN 46123-9174
(317) 268-6555
Mailing address
4265 E MAIN ST, AVON, IN 46123-9174
(317) 268-6555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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