Individual
MRS. JESSICA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CH-PHN BC
Contact information
Practice address
1481 W 10TH ST, ATTN 11-E JESSICA BAXTER, INDIANAPOLIS, IN 46202-2803
(317) 988-3493
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28151146A
IN
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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