Jentry E. O'Daniel, PA
Physician Assistant · Fishers, IN
Practice location
13121 Olio Rd Ste 300Fishers, IN 46037-7240
- Phone
- (317) 621-1310
NPI record
- NPI
- 1720463532
- Entity type
- Individual (Type 1)
- Enumeration date
- July 22, 2015
- Last updated
- January 19, 2026
- Certified
- January 19, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
10002254A | IN |
| Physician Assistant | 363A00000X |
TC391 | KY |
Mailing address
6626 E 75TH St Ste 500Indianapolis, IN 46250-2890
Other practice locations (2)
- 1305 N Elm St, Henderson, KY 42420-2783 · (270) 827-7200
- 8177 Clearvista Pkwy Ste 100, Indianapolis, IN 46256-1662 · (317) 621-7800
About Jentry O'Daniel
Jentry E. O'Daniel, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 13121 Olio Rd Ste 300, Fishers, IN 46037-7240. The NPI number 1720463532 was assigned on July 22, 2015 and the record was last updated on January 19, 2026.
Jentry O'Daniel lists 2 licenses in the registry: #10002254A (IN) for Physician Assistant; #TC391 (KY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jentry E. O'Daniel, PA?
The NPI number is 1720463532.
What is the phone number of Jentry O'Daniel?
The phone number listed for the practice location is (317) 621-1310.
Where is Jentry O'Daniel located?
13121 Olio Rd Ste 300, Fishers, IN 46037-7240.
What is the taxonomy code for Jentry O'Daniel?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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