Healthcare Provider Details

I. General information

NPI: 1548173883
Provider Name (Legal Business Name): JAMARI EDWARDS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAMARIE EDWARDS RN

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ESKENAZI AVE
INDIANAPOLIS IN
46202-5187
US

IV. Provider business mailing address

7351 WINSLET BLVD APT 2E
INDIANAPOLIS IN
46217-9529
US

V. Phone/Fax

Practice location:
  • Phone: 317-880-0000
  • Fax:
Mailing address:
  • Phone: 414-737-0417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number28293380A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: