JON W PRAIRIE

INDIANAPOLIS, IN
NPI1376090266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006445A)
Enumeration Date2016-09-08
Last Update Date2021-02-02
Business Address
JON W PRAIRIE FNP
1633 N CAPITOL AVE
INDIANAPOLIS, IN 46202-1261
Phone number: 317-962-3400
Mailing Address
JON W PRAIRIE FNP
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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