Individual
JACLYN MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11670 COMMERCIAL DR STE 100, FISHERS, IN 46038-2974
(463) 213-8270
Mailing address
558 N HAMILTON AVE, INDIANAPOLIS, IN 46201-2020
(765) 473-1156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01211059
IN
Other
Enumeration date
04/22/2021
Last updated
02/04/2025
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