NPI 1174342109

Jessica L. Barnes

Practitioner PACE Provider Organization Indianapolis, IN

Practice location

Address: 2625 Braxton Dr, Indianapolis, IN 46229-5514
Phone: (317) 828-9254

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 24-017241 (IN)

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Registry record

NPI: 1174342109
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2024
Record last updated: 12 Nov 2025

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.