Individual
JESSICA LOREN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 141, AVON, IN 46123-6913
(317) 217-2225
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28189640A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71014262A
IN
Other
Enumeration date
09/06/2023
Last updated
09/25/2023
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