Individual
MARY APPLEGATE NUCKOLS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8130 E SOUTHPORT RD, INDIANAPOLIS, IN 46259-6806
(317) 245-4453
Mailing address
8130 E SOUTHPORT RD, INDIANAPOLIS, IN 46259-6806
(317) 245-4453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180641
VA
363LF0000X
Family Nurse Practitioner
Primary
71015228A
IN
Other
Enumeration date
12/14/2020
Last updated
03/25/2026
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