Individual
CONNIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8325 E SOUTHPORT RD STE 100, INDIANAPOLIS, IN 46259-6834
(317) 862-6609
(317) 862-4617
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28148831A
IN
Other
Enumeration date
01/24/2016
Last updated
09/29/2023
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