Individual
JENNIFER MARIE DIMITROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2694
(317) 621-8500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71012653A
IN
Other
Enumeration date
07/01/2022
Last updated
07/08/2022
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