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Contact Information

JESSICA E ANSARA
10590 N MERIDIAN ST STE 105
CARMEL, IN46290-1028
 Phone: 317-583-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JESSICA E ANSARA · (Female)

NPI Number 1093347072
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2020
Last updated 01/28/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 10005138A
  • MI License # 5601009725
Hospital affiliation(s)
  • ALLEGIANCE HEALTH - (Acute Care)
    205 N EAST AVE
    JACKSON, MI 49201
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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