Individual
JESSIE THIBEDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
201 N ILLINOIS ST, INDIANAPOLIS, IN 46204-1904
(888) 731-8994
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71011139A
IN
367A00000X
Advanced Practice Midwife
09000373C
IN
367A00000X
Advanced Practice Midwife
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050766
—
IN
Enumeration date
01/02/2018
Last updated
02/17/2026
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