Individual
JANET SUE STOCKBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1835 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1411
(317) 957-2275
(317) 957-2280
Mailing address
3403 E RAYMOND ST, HEALTH1ST WELLNESS CENTERS, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001349A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201268190
—
IN
Enumeration date
08/29/2006
Last updated
01/27/2015
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