Individual
ELLEN WICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
(574) 534-3300
Mailing address
PO BOX 283, MIDDLEBURY, IN 46540-0283
(574) 500-4045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016829A
IN
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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