Individual
JODIE D HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 N CAPITOL AVE # NPE140, INDIANAPOLIS, IN 46202-1218
(317) 962-8776
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010481
MEDICARE PTAN
IN
05
—
300021242
—
IN
01
—
P02557637
RAILROAD PTAN
IN
Enumeration date
10/08/2018
Last updated
12/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us