Individual
EMILY JOHNSON SKEETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 4000, INDIANAPOLIS, IN 46256-1621
(317) 621-7444
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99039488A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005100
—
IN
Enumeration date
10/01/2009
Last updated
11/27/2023
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