Individual
LYNNE ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1063
(812) 352-4300
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71000186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200091060
—
IN
Enumeration date
11/26/2005
Last updated
04/29/2016
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