Individual
JEANNETTE LEE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
(317) 415-8500
Mailing address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71008247A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
71008247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28182699A
RN
IN
Enumeration date
05/22/2018
Last updated
07/25/2023
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