Individual
MRS. JEANNINE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7812
Mailing address
6908 W 10TH ST, INDIANAPOLIS, IN 46214-3558
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000005
IN
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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