Individual
JAMIE ANN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 SENATE BLVD, METHODIST HOSPITAL BOX 1367, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01075407A
IN
207L00000X
Anesthesiology Physician
11016509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201103160
—
IN
01
—
Q00187579
RAILROAD PTAN
IN
Enumeration date
06/29/2012
Last updated
12/04/2024
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