Organization
BROWN COUNTY HEALTH SUPPORT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY S SCHEPPER F.N.P. (NURSE PRACTIONER)
(812) 988-6678
Entity
Organization
Contact information
Practice address
2455 STATE ROAD 46 EAST, BUILDING F SUITE 53, NASHVILLE, IN 47448
(812) 988-6678
(812) 988-1599
Mailing address
PO BOX 893, NASHVILLE, IN 47448-0893
(812) 988-6678
(812) 988-1599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000687B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905400
MEDICARE
IN
Enumeration date
07/13/2007
Last updated
07/13/2007
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