Individual
JESSICA L TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8361 S RETREAT LN, PENDLETON, IN 46064-8573
(765) 620-4339
Mailing address
8361 S RETREAT LN, PENDLETON, IN 46064-8573
(765) 620-4339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27053139A
IN
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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