Individual provider · Type 1 NPI

Jentry E. O'Daniel, PA

Physician Assistant · Fishers, IN

NPI number 1720463532 Active

Practice location

13121 Olio Rd Ste 300
Fishers, IN 46037-7240

Call (317) 621-1310 Map

Mailing address

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

Other practice locations

  • 1305 N Elm St, Henderson, KY 42420-2783 · (270) 827-7200
  • 8177 Clearvista Pkwy Ste 100, Indianapolis, IN 46256-1662 · (317) 621-7800

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XTC391 (KY)
Physician Assistant Primary 363A00000X10002254A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720463532

Jentry E. O'Daniel, PA's National Provider Identifier is 1720463532, issued on Jul 22, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fishers, IN. The record was last updated on Jan 19, 2026.