Individual
NIKOLE BROWN-FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP / ENP
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
Primary
71007645A
IN
363LF0000X
Family Nurse Practitioner
71007645A
IN
390200000X
Student in an Organized Health Care Education/Training Program
28189415A
IN
Other
Enumeration date
02/23/2017
Last updated
06/30/2026
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