Individual
ALEXIS HUCKLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 SHELBY ST, INDIANAPOLIS, IN 46203-1151
(317) 957-2070
Mailing address
6209 TYBALT PL, INDIANAPOLIS, IN 46254-5164
(260) 498-3105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013566A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300068865
—
IN
Enumeration date
08/05/2022
Last updated
05/29/2025
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