Individual
JORDAN ELISE HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7930 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2942
(317) 621-6725
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028159
—
IN
Enumeration date
05/30/2019
Last updated
06/29/2021
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