Individual
JACQUELYN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7910 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 516-5000
Mailing address
7910 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 516-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005087A
IN
363A00000X
Physician Assistant
9110096
FL
Other
Enumeration date
12/26/2016
Last updated
04/07/2026
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