NPI 1053027797

Canesa Marie Jackson-Chapple

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care Lafayette, IN

Practice location

Address: 3095 Pheasant Run Dr APT 625, Lafayette, IN 47909-3370
Phone: (317) 332-5232

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1053027797
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2023
Record last updated: 26 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.