Individual
JULIET JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
Mailing address
6445 HARRISON RIDGE BLVD, INDIANAPOLIS, IN 46236-7820
(317) 744-3895
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
28213834A
IN
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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