Individual
MRS. JEANINE HOOTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1481 W 10TH ST, ROUTING 118, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
5255 E STATE ROAD 144, MOORESVILLE, IN 46158-6061
(317) 831-0528
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001309A
IN
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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