Individual
JAKE MATTHEW WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1415 STADIUM WAY UNIT 4202, INDIANAPOLIS, IN 46202-2160
(765) 414-4456
Mailing address
1415 STADIUM WAY UNIT 4202, INDIANAPOLIS, IN 46202-2160
(765) 414-4456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10005135A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
01/06/2026
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