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Jackie Tank, PA
NPI 1043854409 · on the registry since 2019
Practice
- Address
- 5255 E Stop 11 Rd Ste 450
Indianapolis, IN 46237 - Phone
- (317) 865-4800
- Fax
- (317) 865-4806
- Organisation at this address
- Mandelbaum Surgical Pc
Driehorst & Peters, P.C.
Orthopaedic Spine Center Pc
Orthpaedic Spine Center, Pc
Southeast Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 118
Additional practice sites
- 825 Chalkstone Ave, Providence, RI
- 200 High Service Ave, North Providence, RI
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana