Individual
JOHN SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN AG-ACNP
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71011422A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011422A
IN
364SG0600X
Gerontology Clinical Nurse Specialist
71011422A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300054753
—
IN
Enumeration date
07/05/2021
Last updated
01/14/2022
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