Individual
MRS. ASHLEE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP, PMHNP
Contact information
Practice address
6330 DIGITAL WAY, INDIANAPOLIS, IN 46278-1667
(800) 523-5222
Mailing address
4333 VILLAGE TRACE CT, INDIANAPOLIS, IN 46254-6232
(317) 652-9627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011610A
IN
363LA2100X
Acute Care Nurse Practitioner
71011610A
IN
363LG0600X
Gerontology Nurse Practitioner
71011610A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71011610A
IN
Other
Enumeration date
08/16/2020
Last updated
06/02/2025
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