Individual
JODY CARMONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 INTELLIPLEX DR STE 260, SHELBYVILLE, IN 46176-8580
(317) 398-0121
(317) 398-0538
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 398-0121
(317) 398-0538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005188A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201256970
—
IN
Enumeration date
10/17/2014
Last updated
02/14/2024
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