Individual
JOHNNIE K SPRINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8931 E 30TH ST, INDIANAPOLIS, IN 46219-1501
(317) 355-9320
(317) 355-9319
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-1886
(317) 957-2891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002092A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000659644
ANTHEM
IN
05
—
200803950
—
IN
01
—
P01456879
RR MEDICARE
IN
Enumeration date
09/27/2006
Last updated
07/01/2015
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