Individual
JENNIE L. PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
702 BARNHILL DR, ROC 4340, INDIANAPOLIS, IN 46202-5128
(317) 274-5611
(317) 274-3107
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28071900
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200291240
—
IN
Enumeration date
03/04/2010
Last updated
03/04/2010
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