Individual
JESSICA SARLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7250 CLEARVISTA DR STE 100, INDIANAPOLIS, IN 46256-4640
(317) 621-7111
(317) 621-6040
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-2503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28203911A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006964A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266180927
MEDICARE
IN
05
—
300000939
—
IN
01
—
P01824570
RR MEDICARE
IN
Enumeration date
02/21/2017
Last updated
10/16/2025
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