MEDICARE: JENNIFER LAYMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	01047168A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000312968	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609880053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LAYMAN

Provider Business Mailing Address
First Line	:	6626 E 75TH ST
Second Line	:	SUITE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2805
Country	:	US
Telephone Number	:	317-621-6818
Fax Number	:	317-621-6886

Provider Business Practice Location Address
First Line	:	11911 N MERIDIAN ST
Second Line	:	SUITE 180
City	:	CARMEL
State	:	IN
Zip	:	46032-6904
Country	:	US
Telephone Number	:	317-621-6888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	11/27/2023

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Directions to “ JENNIFER LAYMAN ” Practice Location

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