Individual
JENALEE JO COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N SENATE BLVD, INDIANAPOLIS, IN 46202
(317) 973-9211
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01082039A
IN
Other
Enumeration date
04/23/2014
Last updated
12/05/2019
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