Individual
GRETCHEN L JARRETT
Active
Individual
GRETCHEN L JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28117178
IN
363L00000X
Nurse Practitioner
71003993A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003993A
IN
363LA2200X
Adult Health Nurse Practitioner
A1109132
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201060010
—
IN
Enumeration date
01/10/2012
Last updated
10/23/2013
Update your record
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