Individual
JEREMIAH WESLEY MUNSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8776
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71016278A
IN
363LG0600X
Gerontology Nurse Practitioner
71016278A
IN
Other
Enumeration date
02/03/2025
Last updated
12/24/2025
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