Organization
JONATHON T. AGEE NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON AGEE NP (OWNER)
(317) 300-0370
Entity
Organization
Contact information
Practice address
7855 S EMERSON AVE STE H, INDIANAPOLIS, IN 46237-8669
(317) 300-0370
Mailing address
7855 S EMERSON AVE STE H, INDIANAPOLIS, IN 46237-8669
(317) 300-0370
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
71000676A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489910
—
IN
Enumeration date
04/09/2016
Last updated
04/09/2016
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