Individual
JUSTINA BREIGHANN WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71007552A
IN
363LA2200X
Adult Health Nurse Practitioner
71007552A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71007552A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008560
—
IN
Enumeration date
09/12/2017
Last updated
03/31/2025
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