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Contact Information

KELLY M JASKE, CPNP
705 RILEY HOSPITAL DRIVE
INDIANAPOLIS, IN46037
 Phone: 317-944-4093
 Fax: 317-944-3939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLY M JASKE · (Female)

NPI # 1184933459
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 10/04/2010
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71003371A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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