Individual
TINESHA L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E 54TH ST STE 153, INDIANAPOLIS, IN 46220-3582
(317) 316-5567
(317) 756-9084
Mailing address
1111 E 54TH ST STE 153, INDIANAPOLIS, IN 46220-3582
(317) 316-5567
(317) 756-9084
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
25-018716-1
IN
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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