Individual
JASON LYNN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
2640 COLD SPRING RD, INDIANAPOLIS, IN 46222-2272
(317) 634-8330
Mailing address
PO BOX 735377, CHICAGO, IL 60673-5377
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71011767A
IN
363LP2300X
Primary Care Nurse Practitioner
71011767A
IN
Other
Enumeration date
11/04/2021
Last updated
03/21/2024
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