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Jessica Wade

NPI 1578442307 · on the registry since 2025 · sole proprietor

Practice

Address
3101 N Canterbury Ct Ste 115
Bloomington, IN 47404
Phone
(812) 650-3032
Clinicians at this address
81

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2025-08-27

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