Organization
ENVISION DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANEL JONES NP (OWNER)
(260) 312-6305
Entity
Organization
Contact information
Practice address
4916 BIRMINGHAM DR, INDIANAPOLIS, IN 46235-6103
(260) 312-6305
Mailing address
4916 BIRMINGHAM DR, INDIANAPOLIS, IN 46235-6103
(260) 312-6305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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