Individual
TERESA E KIRISITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2121 S GOPHER DR BLDG, FRANKFORT, IN 46041-6800
(765) 650-7875
Mailing address
PO BOX 1822, INDIANAPOLIS, IN 46206-1822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28209519A
IN
363LF0000X
Family Nurse Practitioner
71007794A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71007794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011704
—
IN
Enumeration date
01/11/2018
Last updated
10/27/2025
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