Individual
JACEY MARIE GRIESELDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 W RAMPART ST STE 250, SHELBYVILLE, IN 46176-8897
(317) 398-7644
Mailing address
6002 N MERIDIAN ST, INDIANAPOLIS, IN 46208-1549
(616) 450-3816
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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