Organization
PROVIDENCE WOUND CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEKAR TEAH NP (OWNER)
(317) 701-5831
Entity
Organization
Contact information
Practice address
10917 GOSSAMER LN, NOBLESVILLE, IN 46060-6106
(317) 365-6977
(317) 642-0687
Mailing address
10917 GOSSAMER LN, NOBLESVILLE, IN 46060-6106
(317) 365-6977
(317) 642-0687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
01/12/2026
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