Individual
MS. TRACY LEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
327 N WORTH AVE, INDIANAPOLIS, IN 46224-8740
(317) 850-5992
Mailing address
327 N WORTH AVE, INDIANAPOLIS, IN 46224-8740
(317) 850-5992
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71007338A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01949
NM
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
607986
TX
Other
Enumeration date
04/29/2011
Last updated
05/07/2026
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