Individual
KORISSA ELAINE THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC, CWOCN
Contact information
Practice address
9001 WESLEYAN RD STE 100, INDIANAPOLIS, IN 46268-1176
(317) 497-5530
Mailing address
9001 WESLEYAN RD STE 100, INDIANAPOLIS, IN 46268-1176
(317) 497-5530
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
50452
IN
163WW0000X
Wound Care Registered Nurse
50452
IN
363LF0000X
Family Nurse Practitioner
Primary
71007019A
IN
Other
Enumeration date
05/16/2017
Last updated
03/17/2018
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