Individual
JESSICA LYNN ULLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, RILEY 5867, INDIANAPOLIS, IN 46202-5109
(317) 948-0003
Mailing address
11 S EUTAW ST, APT1202, BALTIMORE, MD 21201-1628
(240) 423-4160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D89695
MD
208000000X
Pediatrics Physician
D89695
MD
208M00000X
Hospitalist Physician
D89695
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2016
Last updated
08/26/2020
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