Individual
JENNIFER NELSON WEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DR, STE 5900, INDIANAPOLIS, IN 46256-1621
(317) 621-1338
(317) 621-9211
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01067101A
IN
207V00000X
Obstetrics & Gynecology Physician
1101481A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01067101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201008170
—
IN
01
—
P01723981
RR MEDICARE
IN
Enumeration date
06/02/2008
Last updated
03/15/2025
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