Individual
JUNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
115 FIELDS ST, MOORESVILLE, IN 46158
(317) 497-2193
Mailing address
6019 EPPERSON DR, INDIANAPOLIS, IN 46221-4607
(317) 850-1332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006449A
IN
Other
Enumeration date
08/16/2016
Last updated
11/27/2023
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