Individual
JENNIFER R HUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7979
(317) 630-2668
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061495A
IN
208M00000X
Hospitalist Physician
01078145A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000756270
ANTHEM PTAN
IN
01
—
000001158066
ANTHEM PTAN
IN
05
—
200825480
—
IN
Enumeration date
07/06/2006
Last updated
03/10/2025
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