Individual
JESSAMYN R AMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, SUITE 0860, INDIANAPOLIS, IN 46202-5109
(317) 944-8620
(317) 944-8080
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71006594A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063220021
MEDICARE
IN
05
—
201398460
—
IN
Enumeration date
10/04/2016
Last updated
01/03/2023
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