Provider Demographics
NPI:1639351745
Name:JONES-HUA, ELISSA A (NP)
Entity Type:Individual
Prefix:
First Name:ELISSA
Middle Name:A
Last Name:JONES-HUA
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2802 LAFAYETTE RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-2157
Mailing Address - Country:US
Mailing Address - Phone:317-923-7510
Mailing Address - Fax:317-923-7518
Practice Address - Street 1:2802 LAFAYETTE RD
Practice Address - Street 2:SUITE 13
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-2157
Practice Address - Country:US
Practice Address - Phone:317-923-7510
Practice Address - Fax:317-923-7518
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2021-12-28
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Provider Licenses
StateLicense IDTaxonomies
IN28151322363LP0200X
IN71002530363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics