Individual
JAEKAR TEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 VAN NUYS RD, NEW CASTLE, IN 47362-9060
(317) 701-5831
Mailing address
10917 GOSSAMER LN, NOBLESVILLE, IN 46060-6106
(317) 701-5831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013060A
IN
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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