Jentry E O'daniel PA

  • NPI 1720463532
According to our database, the NPI number for Jentry E O'daniel PA is 1720463532 and activated since 8 years ago. Jentry E O'daniel PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 8177 Clearvista Pkwy Ste 100, Indianapolis, IN 46256. You can also contact Jentry E O'daniel PA via telephone number is (317) 621-7800. Provider NPI information was last updated on 12/30/2019.

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Overview of Jentry E O'daniel PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/22/2015
  • Last updated: 12/30/2019

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 10002254A
  • License State: IN

Provider Mailing Address

  • Address: 6626 E 75th St Ste 500
    Indianapolis, IN 46250
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 8177 Clearvista Pkwy Ste 100
    Indianapolis, IN 46256
  • Phone: 317-621-7800
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 10002254A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 300003519
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jentry E O'daniel PA?
  • A: The npi number for Jentry E O'daniel PA is 1720463532.
  • Q: What are Jentry E O'daniel PA's specialties?
  • A: Jentry E O'daniel PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jentry E O'daniel PA?
  • A: The medical license number for Jentry E O'daniel PA is 10002254A and issued in IN in USA.
  • Q: Where is Jentry E O'daniel PA practice location?
  • A: Jentry E O'daniel PA is practicing at 8177 Clearvista Pkwy Ste 100, Indianapolis, IN 46256.
  • Q: How to contact Jentry E O'daniel PA?
  • A: You can contact Jentry E O'daniel PA via 317-621-7800.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.