Individual
ALLISON E GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13100 E 136TH ST, FISHERS, IN 46037-9417
(317) 678-3100
(317) 678-3108
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009229A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267030137
MEDICARE PTAN
IN
05
—
300029451
—
IN
01
—
P02586331
RAILROAD PTAN
IN
Enumeration date
08/13/2019
Last updated
04/30/2024
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