Individual
KAMILAH TOURNER-NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2694
(317) 621-8500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28201803A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013175A
IN
Other
Enumeration date
10/04/2022
Last updated
10/21/2022
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