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Individual

MS. KATRINA LOU JAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
1481 W 10TH ST, PSYCHIATRY AMBULATORY CARE CLINIC, INDIANAPOLIS, IN 46202-2803
(317) 988-2000
(317) 988-2884
Mailing address
2013 E 65TH ST, INDIANAPOLIS, IN 46220-2134
(317) 254-0125
(317) 988-2884

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28134167A
IN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2007009969
IN

Other

Enumeration date
12/04/2007
Last updated
12/04/2007
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