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Individual

JESSICA BIRGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
6401 E WASHINGTON ST, INDIANAPOLIS, IN 46219
(317) 808-7085
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71008148A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28197305A
RN NUMBER
IN
Enumeration date
03/20/2018
Last updated
06/22/2020
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