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Individual

KATRINA JANE RICKETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1401 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8014
(812) 473-2060
(812) 473-0763
Mailing address
1401 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8014
(812) 473-2060
(812) 473-0763

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4015647
KY
363LF0000X
Family Nurse Practitioner
Primary
28201849A
IN
363LF0000X
Family Nurse Practitioner
71014723A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1103804757
ANTHEM BCBS
IN
01
1133226
REGISTERED KENTUCKY NURSING LICENSE
KY
01
28201849A
REGISTERED INDIANA NURSING LICENSE
IN
01
28207249A
STATE LICENSE
IN
05
300084520
IN
05
7100949430
KY
01
71014723A
IN STATE LICENSE
IN
01
71014723B
IN CSR
IN
01
F11230253
FNP CERT
IN
Enumeration date
10/18/2023
Last updated
06/30/2025
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