Individual
LEE ANN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 948-3967
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28205521A
IN
363LF0000X
Family Nurse Practitioner
28205521A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001307003
ANTHEM PTAN
IN
01
—
000001387785
ANTHEM PTAN
IN
05
—
300029350
—
IN
Enumeration date
01/30/2019
Last updated
02/12/2025
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