Individual
JO ANN FLORENCE JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3455 MANN RD, INDIANAPOLIS, IN 46221-2337
(317) 487-0722
Mailing address
103 E VERMILYA AVE, BLOOMINGTON, IN 47401-6511
(812) 360-2928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000795A
IN
Other
Enumeration date
04/25/2007
Last updated
06/18/2013
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