JACKIE TANK, PA

PA

Physician Assistant

NPI: 1043854409IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10002853A(IN)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2019

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Contact & Hours

Via practice · 3 locations total

Address: 5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Phone: (317) 865-4800

Locations (3)

Practice Location

5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN

Practice Location

200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI

Practice Location

825 CHALKSTONE AVE, PROVIDENCE, RI

Quick Facts

NPI: 1043854409
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 3
Years in Practice: 7

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