Individual
DONNA KAY EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001264A
IN
363LF0000X
Family Nurse Practitioner
71001264A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71001264A
IN
Other
Enumeration date
12/06/2005
Last updated
09/07/2007
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