Individual provider · Type 1 NPI
Jeni Sylese Grundy, NP
Primary Care Nurse Practitioner · Indianapolis, IN
NPI number
1154830529
Active
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Mailing address
3553 Windham Lake Trce
Indianapolis, IN 46214-1469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AG07170084 (IN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1154830529
Jeni Sylese Grundy, NP's National Provider Identifier is 1154830529, issued on Sep 28, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 28, 2017.