Individual
SANDRA B JENKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
1440 E COUNTY LINE RD STE 3200, SUITE 3200, INDIANAPOLIS, IN 46227-0963
(317) 621-9254
(317) 957-2712
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008011
—
IN
Enumeration date
07/06/2011
Last updated
06/04/2021
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