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Jack White

NPI 1518709492 · on the registry since 2024

Practice

Address
350 W 14th St # Ha7024
Indianapolis, IN 46202
Phone
(317) 944-5000
Clinicians at this address
11

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-20

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