Individual
JORDAN T KEMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC, RN
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 652-0295
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
71011515A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011515A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2021
Last updated
01/07/2022
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