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Individual

JENNIFER A CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7979 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003276A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000685873
ANTHEM
IN
05
200999560
IN
01
P01157118
RR MEDICARE
IN
01
P01751214
RR MEDICARE
IN
Enumeration date
08/31/2010
Last updated
11/27/2023
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