Individual
JENNIFER K MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11725 N ILLINOIS ST STE 560, CARMEL, IN 46032
(317) 688-5250
(317) 688-5251
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01059278A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077230
—
IN
01
—
P00146155
RAILROAD MEDICARE PTAN
IN
01
—
P01022581
RAILROAD MEDICARE PTAN
IN
Enumeration date
08/16/2005
Last updated
12/18/2020
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