Individual
LINDSAY R JOHNSON-HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5255 E STOP 11 RD STE 200, INDIANAPOLIS, IN 46237-6341
(317) 528-1212
(317) 528-1252
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
70000202A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
70000202A
IN
363LP0200X
Pediatric Nurse Practitioner
70000202A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586883
ANTHEM
IN
05
—
200921670
—
IN
Enumeration date
01/18/2007
Last updated
02/27/2023
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