Individual
MS. JENNIFER L STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8402 HARCOURT RD STE 125, INDIANAPOLIS, IN 46260-2094
(317) 802-2000
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002983A
IN
Other
Enumeration date
07/16/2009
Last updated
04/01/2021
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