Individual
MADELAINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
Mailing address
1661 GINSENG TRL, AVON, IN 46123-8458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003311A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
07/21/2021
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