Individual
JENNIFER ANN LOCKLIEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5255 E STOP 11 RD, INDIANAPOLIS, IN 46237-6340
(317) 851-2331
(317) 851-2333
Mailing address
5255 E STOP 11 RD, INDIANAPOLIS, IN 46237-6340
(317) 851-2331
(317) 851-2333
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IN
Other
Enumeration date
09/20/2006
Last updated
03/19/2021
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