Individual
JEANETTA CAROL CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-4800
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
28124300A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71008955A
IN
Other
Enumeration date
12/05/2018
Last updated
03/13/2023
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