Jacob Etherton is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Etherton NPI is 1427448224. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8142 GRASSY MEADOW LN
INDIANAPOLIS, IN
ZIP 46259-721
Phone: (317) 513-9282
The enumeration date for this NPI number is 1/31/2015 and was last updated on 1/31/2015.