Individual provider · Type 1 NPI

Jeromy Michael Shoup, NP

Family Nurse Practitioner · Indianapolis, IN

NPI number 1053960120 Active

Practice location

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 517 N Concord Rd, Crawfordsville, IN 47933-9002 · (317) 517-2339

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71009462 (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1053960120

Jeromy Michael Shoup, NP's National Provider Identifier is 1053960120, issued on Sep 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 20, 2026.