Individual
CALLIE DEE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
207 SPARKS AVE, SUITE 301, JEFFERSONVILLE, IN 47130-3739
(812) 280-7063
(812) 218-8557
Mailing address
207 SPARKS AVE, SUITE 301, JEFFERSONVILLE, IN 47130-3739
(812) 280-7063
(812) 218-8557
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
3007379
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
71004842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71004842A
LICENSE
IN
Enumeration date
03/09/2012
Last updated
04/29/2014
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