Individual
MS. TAMMY JO HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7301 N SHADELAND AVE, SUITE 1A, INDIANAPOLIS, IN 46250-2085
(317) 577-1800
(317) 577-1805
Mailing address
7301 N SHADELAND AVE STE 1A, INDIANAPOLIS, IN 46250-2877
(317) 577-1800
(317) 577-1805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28114484A
IN
363L00000X
Nurse Practitioner
71003185A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71003185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200975400
—
IN
Enumeration date
03/08/2010
Last updated
04/15/2026
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