Individual
LAURA ANN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3519
Mailing address
9317 AMBERLEIGH DR, PLAINFIELD, IN 46168-4726
(317) 839-2894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28131239A
IN
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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