Individual
REBECCA T JURHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001968A
IN
363AM0700X
Medical Physician Assistant
Primary
10001968A
IN
363AS0400X
Surgical Physician Assistant
10001968A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000996667
ANTHEM PTAN
IN
05
—
201347370
—
IN
Enumeration date
03/02/2016
Last updated
02/12/2025
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