Individual
MEAGHEN N JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002673A
IN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127437
ANTHEM PTAN
IN
01
—
000001252364
ANTHEM PTAN
IN
01
—
000001665531
ANTHEM PTAN
IN
05
—
300022605
—
IN
Enumeration date
12/26/2018
Last updated
02/11/2025
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