Individual
JACLYN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1112 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46202-3947
(317) 880-1900
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01092108A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11022168A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300062553
—
IN
Enumeration date
04/15/2022
Last updated
09/22/2025
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