Individual
JERRY H FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01030698A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01030698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191720
—
IN
Enumeration date
11/30/2005
Last updated
06/21/2022
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