Individual
MRS. JESSICA MICHELLE MERIWETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 859-7222
(317) 859-7220
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1266
(317) 859-4269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001202A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000676623
ANTHEM
IN
01
—
1487680518
GROUP NPI
IN
Enumeration date
08/09/2010
Last updated
01/19/2024
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