Individual
JESSICA JULIE PIETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-6060
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244828A
IN
363LF0000X
Family Nurse Practitioner
71013489A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71013489A
IN
Other
Enumeration date
09/20/2021
Last updated
01/25/2023
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