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Individual

JENNIFER C. HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6815
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
28151542
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
71002154
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200883800
IN
Enumeration date
07/18/2006
Last updated
02/28/2022
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