Provider Demographics
NPI:1336981083
Name:JAMMES, CARA M (CRNA)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:M
Last Name:JAMMES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:PEPPERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1914 COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-1003
Mailing Address - Country:US
Mailing Address - Phone:260-438-0533
Mailing Address - Fax:
Practice Address - Street 1:11700 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4656
Practice Address - Country:US
Practice Address - Phone:317-688-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN149833367500000X
IN28231890A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered