Ambler, Jessamyn R

Ambler, Jessamyn R is an individual health care provider with primary practice located at 705 Riley Hospital Dr Suite 0860, Indianapolis IN 46202-5109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ambler, Jessamyn R can be contacted via phone (317) 944-8620.

Contact Information

Primary practice address
705 Riley Hospital Dr Suite 0860 Indianapolis IN 46202-5109
Phone: (317) 944-8620
Fax: (317) 944-8080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71006594A Indiana

Profile Details

NPI number 1881144715
LBN Legal business name Ambler, Jessamyn R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2016
Last updated Jan 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881144715 NPPES
Indiana Other 063220021 MEDICARE
Indiana MEDICAID 201398460 MEDICARE

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