Melissa Jane Smith, NP-C
Nurse Practitioner, Family in Indianapolis, IN. Individual provider (NPI-1).
NPI number1982174454
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1982174454
- Entity type
- Individual (NPI-1)
- Name
- Melissa Jane Smith
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2018
- Certification date
- Sep 22, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71008572A | IN | Yes |
Practice location
9015 E 17th StIndianapolis, IN 46229-2016
Phone 317-355-7700
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone 317-621-7547
Other practice locations
3850 S Emerson Ave Ste C
Indianapolis, IN 46203-5997
Indianapolis, IN 46203-5997
Phone 317-497-2660 · Fax 317-497-2517
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