Individual
CAROL LYNN PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28113039A
IN
363LA2200X
Adult Health Nurse Practitioner
71004499A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71004499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201181150
—
IN
Enumeration date
05/21/2013
Last updated
04/29/2025
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