Individual
MS. JENNIFER ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10080 E 121ST ST STE 112, FISHERS, IN 46037-4211
(317) 813-1780
(317) 813-3012
Mailing address
10784 SWEET CREEK TRL, FISHERS, IN 46037-4098
(914) 645-8862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
656482
NY
Other
Enumeration date
06/24/2012
Last updated
03/17/2023
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