person
Jaci R Glass, NP
Adult Health Nurse Practitioner in Mooresville, Indiana
NPI 1326320656

Jaci R Glass is an Adult Health Nurse Practitioner based in Detroit, IN and is specialized in Adult Health. Jaci R Glass practices in Mooresville, IN and has the professional credentials of NP. The NPI Number for Jaci R Glass is 1326320656 and holds a License No. 28174021A (Indiana).

The current practice location address for Jaci R Glass is 1199 Hadley Rd Ste 100, Mooresville, IN and can be reached out via phone at 317-834-3263 and via fax at 317-834-5194.

Location: 1199 Hadley Rd Ste 100, Mooresville, IN, 48278-1076
person
Provider Profile Details
NPI Number
1326320656
Provider Name
Jaci R Glass
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1199 Hadley Rd Ste 100, Mooresville, IN, 48278-1076
Phone Number
317-834-3263
Fax Number
317-834-5194
Provider Enumeration Date
09/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201035270 05 IN
institution
Provider Business Practice Location Address Details
Address
1199 Hadley Rd Ste 100
City
State
Zip
46158-1788
Phone Number
317-834-3263
Fax Number
317-834-5194
person
Provider Business Mailing Address Details
Address
1199 Hadley Rd Ste 100
City
State
Zip
46158-1788
Phone Number
317-834-3263
Fax Number
317-834-5194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
28174021A (Indiana)
Definition
Definition to come...
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