Individual provider · Type 1 NPI
Jessie Thibedeau, CNM
Women's Health Nurse Practitioner · Indianapolis, IN
NPI number
1699282459
Active
Practice location
201 N Illinois St
Indianapolis, IN 46204-1904
Mailing address
8414 Naab Rd
Indianapolis, IN 46260-1972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Midwife | 367A00000X | None listed |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 71011139A (IN) |
| Advanced Practice Midwife | 367A00000X | 09000373C (IN) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1699282459
Jessie Thibedeau, CNM's National Provider Identifier is 1699282459, issued on Jan 2, 2018. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 17, 2026.