Individual
JAYDEN JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1122 N AVON AVE, AVON, IN 46123-8862
(317) 707-9888
Mailing address
104 COUNTRY CT, DANVILLE, IN 46122-9410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28275317A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015709A
IN
Other
Enumeration date
09/18/2023
Last updated
11/20/2024
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