Organization
PROFESSIONAL NURSING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOSHU PETTY RN (CEO)
(317) 665-7769
Entity
Organization
Contact information
Practice address
5383 CROOKED STICK CT, GREENWOOD, IN 46142-9107
(317) 665-7769
Mailing address
5383 CROOKED STICK CT, GREENWOOD, IN 46142-9107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/27/2026
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