Individual
REBECCA L ALLEN-LEGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6910 N MAIN ST UNIT 52, GRANGER, IN 46530-8412
(574) 231-6766
(833) 249-2411
Mailing address
50755 TIMOTHY RD, NEW CARLISLE, IN 46552-9636
(574) 210-1850
(574) 210-1850
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71000950A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279550
—
IN
Enumeration date
02/27/2006
Last updated
08/06/2025
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