Individual
MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
313 WESTERN BLVD, GREENWOOD, IN 46142-9210
(317) 708-0798
(317) 588-2655
Mailing address
313 WESTERN BLVD STE F, GREENWOOD, IN 46142-9217
(317) 588-2655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005068A
IN
Other
Enumeration date
09/08/2014
Last updated
08/21/2025
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