Individual
DR. NICOLE LEE PLENTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260-2189
(317) 415-8100
Mailing address
8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260-2189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22580
MS
207V00000X
Obstetrics & Gynecology Physician
T2215
MS
207VM0101X
Maternal & Fetal Medicine Physician
01077247A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
93964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01036293
—
MS
05
—
201373100
—
IN
01
—
P01723976
RR MEDICARE
IN
Enumeration date
07/14/2009
Last updated
03/16/2026
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