Individual
JACQUELYN RENEE JOINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
705 RILEY HOSPITAL DR RM 2820, INDIANAPOLIS, IN 46202-5109
(317) 944-9981
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000063A
IN
Other
Enumeration date
08/24/2020
Last updated
10/12/2020
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