Individual
DR. JANE ELLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5550 S EAST ST, STE.I, INDIANAPOLIS, IN 46227-1979
(317) 780-4080
(317) 780-4088
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01047151A
IN
2080A0000X
Pediatric Adolescent Medicine Physician
01047151
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507395
ANTHEM
IN
05
—
200181770
—
IN
Enumeration date
06/09/2005
Last updated
02/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us