Individual
JACKIE SKILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10234 E US HIGHWAYS 36, AVON, IN 46123
(317) 207-0922
Mailing address
2786 E US HIGHWAY 36, BAINBRIDGE, IN 46105-9557
(765) 721-4240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08201103
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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