Individual
J BRETT DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5502 E 16TH ST, INDIANAPOLIS, IN 46218-4937
(317) 355-5394
Mailing address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28135928A
IN
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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