Individual
JENNIFER CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
935 E HANNA AVE, INDIANAPOLIS, IN 46227-1387
(317) 803-4175
Mailing address
935 E HANNA AVE, INDIANAPOLIS, IN 46227-1387
(317) 788-0396
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
28164436A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
CON104400820
IN
Other
Enumeration date
06/23/2016
Last updated
03/16/2017
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