# MIGNONETTE DARLENE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669911103
- **Authorized official:** MIGNONETTE DARLENE FNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (919) 438-7899

## Contact information

- **Practice address:** 8108 E 36TH ST, INDIANAPOLIS, IN 46226-6431
- **Practice address phone:** (919) 438-7899
- **Mailing address:** 8108 E 36TH ST, INDIANAPOLIS, IN 46226-6431
- **Mailing address phone:** (919) 438-7899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71006769A | IN | Yes |

## Other

- **Enumeration date:** 02/16/2017
- **Last updated:** 02/16/2017