Individual provider · Type 1 NPI

Jessica Emil Ansara

Surgical Physician Assistant · Carmel, IN

NPI number 1093347072 Active

Practice location

10590 N Meridian St Ste 105
Carmel, IN 46290-1028

Mailing address

22384 Antler Dr
Novi, MI 48375-4811

Other practice locations

  • 205 N East Ave, Jackson, MI 49201-1753 · (517) 205-4800

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10005138A (IN)
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X5601009725 (MI)
Medical Physician Assistant 363AM0700X5601009725 (MI)

Surgical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1093347072

Jessica Emil Ansara's National Provider Identifier is 1093347072, issued on Feb 7, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Carmel, IN. The record was last updated on Jan 28, 2026.