Jason Soultz, NP-C
Nurse Practitioner, Family in Indianapolis, IN. Individual provider (NPI-1).
NPI number1669955449
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1669955449
- Entity type
- Individual (NPI-1)
- Name
- Jason Soultz
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2018
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71008585A | IN | Yes |
Practice location
2340 E 10th StIndianapolis, IN 46201-2008
Phone 317-957-2200
Mailing address
3403 E Raymond StIndianapolis, IN 46203-4744
Phone 317-957-2000
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