Delisle, Mary Jeanne

Delisle, Mary Jeanne is an sole proprietor health care provider with primary practice located at 2732 W Michigan St , Indianapolis IN 46222-3750. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Delisle, Mary Jeanne can be contacted via phone (317) 554-4663.

Contact Information

Primary practice address
2732 W Michigan St Indianapolis IN 46222-3750
Phone: (317) 554-4663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 70000062A Indiana

Profile Details

NPI number 1508030891
LBN Legal business name Delisle, Mary Jeanne
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2008
Last updated Apr 17th, 2008 - about 18 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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