Individual
JENNA LEE WELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1160 W MICHIGAN ST STE 100, INDIANAPOLIS, IN 46202-5209
(317) 278-1470
Mailing address
1160 W MICHIGAN ST STE 100, INDIANAPOLIS, IN 46202-5209
(317) 278-1470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004278A
IN
Other
Enumeration date
06/24/2021
Last updated
01/12/2026
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