Individual
ASHLEE N FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1030 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5201
(317) 944-0920
Mailing address
7930 W WILMONT TRL, NEW PALESTINE, IN 46163-0003
(317) 439-5346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190771A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014748A
IN
Other
Enumeration date
11/15/2023
Last updated
12/14/2023
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