Individual
JULIE GUNCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7250 CLEARVISTA DR STE 380, INDIANAPOLIS, IN 46256-5608
(317) 621-3700
(317) 621-3701
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28175339A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005392A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201275330
—
IN
01
—
P01599188
RR MEDICARE
IN
Enumeration date
02/10/2015
Last updated
02/02/2026
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