Individual
JEANINE ELLEN SMITHBURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6026 BUNTON DR, INDIANAPOLIS, IN 46237-1307
(317) 619-4121
Mailing address
6026 BUNTON DR, INDIANAPOLIS, IN 46237-1307
(317) 619-4121
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28245081A
IN
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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