IndividualActive
Jeni Grundy, NP
NPI 1154830529 · Primary Care Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1154830529
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- AG07170084 (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Phone: (317) 988-3959
Approximate (ZIP-level) locationGet directions
Mailing address
3553 Windham Lake Trce
Indianapolis, IN 46214-1469
Registry dates
- Enumerated
- 2017-09-28
- Last updated
- 2017-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.