Individual
NICOLE MARIE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8330 NAAB RD STE 340, INDIANAPOLIS, IN 46260
(317) 338-5100
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71008259A
IN
363LA2200X
Adult Health Nurse Practitioner
71008259A
IN
363LG0600X
Gerontology Nurse Practitioner
71008259A
IN
Other
Enumeration date
05/26/2018
Last updated
09/05/2018
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