Individual
DR. JEANNE I DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 N COLLEGE AVE, INDIANAPOLIS, IN 46202-1715
(317) 880-0880
(317) 880-0860
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
(317) 274-4402
(317) 278-1302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01048306
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200230020
—
IN
Enumeration date
05/20/2006
Last updated
11/11/2021
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