Individual
JENNIFER JO BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-6288
Mailing address
909 N GRANT ST, LEBANON, IN 46052-1942
(260) 726-5656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104712
FL
Other
Enumeration date
12/09/2008
Last updated
03/14/2013
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