IndividualActive
Jacob Perreira, AGPCNP
NPI 1346996295 · Primary Care Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1346996295
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Male
- Sole proprietor
- No
- License
- 28251946A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Phone: (317) 988-1772
Approximate (ZIP-level) locationGet directions
Mailing address
5843 Minden Dr
Indianapolis, IN 46221-9379
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.