Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 08002475A | IN |
NPI | 1346488152 |
---|---|
Provider Name | Dr. Jessica Barbara Spindel |
First Address | Jeffersonville, IN 47130-3623 |
Second Address | Jeffersonville, IN 47130-3623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2009 |
Last Update Date | 09/09/2009 |