Individual
JESSICA L. BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 BRAXTON DR, INDIANAPOLIS, IN 46229-5514
(317) 828-9254
Mailing address
2625 BRAXTON DR, INDIANAPOLIS, IN 46229-5514
(317) 828-9254
(317) 669-8287
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
24-017241
IN
Other
Enumeration date
10/07/2024
Last updated
11/12/2025
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