Organization
JALK & P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYEE TEAH BLEEMIE NP (NP)
(773) 715-7219
Entity
Organization
Contact information
Practice address
6907 ENNIS DR, BROWNSBURG, IN 46112-5603
(773) 715-7219
Mailing address
6907 ENNIS DR, BROWNSBURG, IN 46112-5603
(773) 715-7219
(317) 659-8825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/27/2022
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