Individual
JERRLYN J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, STE C-3, INDIANAPOLIS, IN 46202-1239
(317) 962-2688
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000029A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
28066589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037920
—
IN
Enumeration date
05/18/2006
Last updated
03/29/2021
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