Individual
JESSIKA ELEXIS MEADOWS
Active
Individual
JESSIKA ELEXIS MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02008908A
IN
207R00000X
Internal Medicine Physician
Primary
02008908A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11023421A
IN
Other
Enumeration date
05/15/2024
Last updated
08/21/2026
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