Individual
BERNADETTE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2312 S DIXON RD STE 240, KOKOMO, IN 46902-6401
(317) 890-2000
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28186434A
IN
Other
Enumeration date
03/12/2022
Last updated
09/24/2025
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