# MH NURSING OF INDIANA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MH NURSING OF INDIANA, PC
- **Other names:** LSC Crawfordsville Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093370454
- **Legal business name:** MH NURSING OF INDIANA, PC
- **Authorized official:** JESSICA NASS APN (PRESIDENT)
- **Authorized official phone:** (802) 857-0400

## Contact information

- **Practice address:** 600 SR32 WEST, CRAWFORDSVILLE, IN 47933
- **Practice address phone:** (765) 303-4701
- **Mailing address:** PO BOX 5, WINOOSKI, VT 05404-0005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2019
- **Last updated:** 05/01/2019
