Individual
JULIE HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
(317) 363-6698
Mailing address
7530 MIESHA CT, INDIANAPOLIS, IN 46217-9111
(317) 363-6698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
28179337A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71011161A
IN
Other
Enumeration date
04/30/2021
Last updated
06/03/2021
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