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Individual

JESSICA LUCILLE HORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
699 RILEY HOSPITAL DR, ROOM RR 208, INDIANAPOLIS, IN 46202-5119
(317) 274-4715
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R3227
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02004849A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201372870
IN
Enumeration date
04/24/2013
Last updated
03/10/2026
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