Individual
SHELBY NATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 W 10TH ST, INDIANAPOLIS, IN 46202-3082
(317) 963-7673
Mailing address
207 LUCKY LN, PENDLETON, IN 46064-9190
(765) 238-0709
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28227739A
IN
363LP0200X
Pediatric Nurse Practitioner
71016806A
IN
Other
Enumeration date
06/10/2025
Last updated
09/04/2025
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