Individual provider · Type 1 NPI

Kelsie Noelle Jackson, DO

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1669266714 Active

Practice location

5230 E Stop 11 Rd Ste 250
Indianapolis, IN 46237-6399

Call (317) 528-8921 Map

Fax (317) 528-6916

Mailing address

PO Box 781008
Detroit, MI 48278-1008

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11024082A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669266714

Kelsie Noelle Jackson, DO's National Provider Identifier is 1669266714, issued on Apr 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 4, 2025.