Individual
JENNA K MAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 274-4779
(317) 948-9806
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28207435A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71007986A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018623
—
IN
Enumeration date
05/23/2018
Last updated
04/10/2024
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