Individual
JENNIFER L MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10701 ALLIANCE DR STE A, CAMBY, IN 46113-8837
(317) 856-7083
(317) 856-7332
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005812A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201326460
—
IN
Enumeration date
10/21/2015
Last updated
01/10/2024
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