Individual
DR. JILL D ABRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
800 FULTON ST, ATTN: ANNE LAWSON, LOGANSPORT, IN 46947-1577
(574) 205-2600
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036047
IN
2084P0800X
Psychiatry Physician
01036047A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01036047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447384250
—
IN
Enumeration date
03/15/2007
Last updated
08/30/2023
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