Individual
JADELYN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-1772
Mailing address
6036 DRAYCOTT DR, INDIANAPOLIS, IN 46236-7004
(219) 973-7482
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28268913A
IN
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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