Individual
JAMIE MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, STE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
7106 CIDER MILL CIR, APT 2D, INDIANAPOLIS, IN 46226-7816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27034094A
IN
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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