Provider Demographics
NPI:1538630264
Name:MERONEY, JADE N (RN)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:N
Last Name:MERONEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:395 WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1425
Mailing Address - Country:US
Mailing Address - Phone:317-770-4721
Mailing Address - Fax:317-770-6911
Practice Address - Street 1:355 WESTFIELD RD.
Practice Address - Street 2:SUITE 100
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1443
Practice Address - Country:US
Practice Address - Phone:317-773-5876
Practice Address - Fax:317-776-0363
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2019-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN28174341A163W00000X
IN71008733A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse