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NPI Code Detail

MEDICARE: MISS BETSY JAYNE JOHNS

MEDICARE:  MISS BETSY JAYNE JOHNS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710844501
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BETSY JAYNE JOHNS
Provider Business Mailing Address
First Line : 8516 JIB CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-9597
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8516 JIB CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-9597
Country : US
Telephone Number : 317-910-3233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 04/27/2026

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Directions to “ MISS BETSY JAYNE JOHNS ” Practice Location

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