Organization
FNC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GEORGE WILLMING (OWNER)
(812) 453-6555
Entity
Organization
Contact information
Practice address
2110 E WALNUT ST, EVANSVILLE, IN 47714-1205
(812) 453-6555
(812) 916-4621
Mailing address
2110 E WALNUT ST, EVANSVILLE, IN 47714-1205
(812) 453-6555
(812) 916-4621
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
364SL0600X
Long-Term Care Clinical Nurse Specialist
—
—
Other
Enumeration date
05/21/2024
Last updated
08/13/2025
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