Individual
SHILA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7149 STATE HIGHWAY 67, GOSPORT, IN 47433-7985
(812) 360-2414
Mailing address
7149 STATE HIGHWAY 67, GOSPORT, IN 47433-7985
(812) 360-2414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014756A
IN
Other
Enumeration date
01/12/2024
Last updated
01/29/2026
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