Individual
JESSICA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 E MAIN ST STE 229, PLAINFIELD, IN 46168-2830
(317) 214-8115
Mailing address
2680 E MAIN ST STE 229, PLAINFIELD, IN 46168-2830
(317) 214-8115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IN
Other
Enumeration date
02/20/2021
Last updated
10/05/2023
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