Individual
JENNIFER BALANDRAN BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032
(317) 688-2000
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01080958B
IN
207V00000X
Obstetrics & Gynecology Physician
R7958
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10047403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700220720
—
IN
Enumeration date
04/21/2013
Last updated
04/14/2020
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