IndividualActive
Canesa Jackson-Chapple
NPI 1053027797 · Child Intellectual and/or Developmental Disabilities Respite Care · Lafayette, IN
Provider details
- NPI number
- 1053027797
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
3095 Pheasant Run Dr Apt 625
Lafayette, IN 47909-3370
Phone: (317) 332-5232
Approximate (ZIP-level) locationGet directions
Mailing address
3095 Pheasant Run Dr Apt 625
Lafayette, IN 47909-3370
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.