Individual
DR. JACQUELINE S. TRUEBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
645 S ROGERS ST STE A, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Mailing address
645 S ROGERS ST STE A, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200814880
—
IN
Enumeration date
04/14/2006
Last updated
04/05/2023
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