Search › Indiana › 171100000X
Jordan Van Tress
NPI 1871103655 · on the registry since 2020 · sole proprietor
Practice
- Address
- 12115 Princewood Ct
Fishers, IN 46037 - Phone
- (317) 752-4812
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-05
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