Individual
MS. ELLISHIONA JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7465 MADISON AVE, INDIANAPOLIS, IN 46227-6564
(317) 788-3000
Mailing address
7840 PALAWAN WAY, INDIANAPOLIS, IN 46239-2209
(317) 489-1365
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
32002443A
IN
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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