Individual
MEGHAN E GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4625 E STIPP RD, BLOOMINGTON, IN 47401-9301
(812) 345-2312
Mailing address
4625 E STIPP RD, BLOOMINGTON, IN 47401-9301
(812) 345-2312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28195262A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014077A
IN
Other
Enumeration date
03/07/2023
Last updated
08/29/2023
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