Individual
MRS. JACQULYN NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
8935 N. MERIDIAN STREET, SUITE #107, INDIANAPOLIS, IN 46260
(317) 924-2390
(317) 924-2391
Mailing address
8935 N. MERIDIAN STREET, SUITE #107, INDIANAPOLIS, IN 46260
(317) 924-2390
(317) 924-2391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28190531A
IN
Other
Enumeration date
06/15/2016
Last updated
02/15/2022
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