Individual
MR. ADAM HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1311 W 96TH ST STE 110, INDIANAPOLIS, IN 46260-1172
(317) 876-3699
Mailing address
10833 WINDERMERE BLVD, FISHERS, IN 46037-8986
(317) 514-9779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28180906A
IN
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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