Individual
JESSICA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-5100
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-5100
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28243651A
IN
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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