MEDICARE: DR. JENNIFER C SLOAN MD

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	2084P0800X	Psychiatry Physician	01056792	IN

General Provider Information

NPI Number	:	1750316766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER C SLOAN MD

Provider Business Mailing Address
First Line	:	4909 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-2621
Country	:	US
Telephone Number	:	317-887-1348
Fax Number	:	317-888-1104

Provider Business Practice Location Address
First Line	:	898 E MAIN ST
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1407
Country	:	US
Telephone Number	:	317-887-1348
Fax Number	:	317-888-1104

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	03/07/2023

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