Individual
JESSICA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
489 S STATE ROAD 135 STE F, GREENWOOD, IN 46142-1400
(317) 887-7640
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003808A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003808A
INDIANA PA LICENSE
IN
01
—
1191170
NCCPA
—
Enumeration date
11/07/2022
Last updated
04/17/2025
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