Shelly J King in Indianapolis - Nurse Practitioner

Shelly J King - NPI 1427044874

Shelly J King is a Nurse Practitioner in Indianapolis, Indiana. Shelly J King practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shelly J King is 1427044874. The last update date is 2020-12-17.

Shelly J King's current location address is 705 Riley Hospital Dr, Indianapolis, Indiana. You can contact this provider via phone number 3179447411 and fax number 3179447481. The mailing address for Shelly J King is 705 Riley Hospital Dr, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelly J King
Address 705 Riley Hospital Dr, Indianapolis, Indiana
Phone Number 3179447411
Fax Number 3179447481
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1427044874
Provider Enumeration Date 2005-09-21
Last Updated Date 2020-12-17

Provider Mailing Address Detail

Address 705 Riley Hospital Dr
City Indianapolis
State Indiana (IN)
Post Code 462025109
Phone Number 3179447411
Fax Number 3179447481

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 71001248A
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200366990 IN --
593125 IN ANTHEM PIN

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FAQs about Shelly J King

Can you provide the Shelly J King's physical address?

The Shelly J King is physically located at 705 Riley Hospital Dr, in the city of Indianapolis, IN, with the postal code 462025109.

Could you please provide the complete street address where Shelly J King is physically located?

The Shelly J King is physically situated at the following address: 705 Riley Hospital Dr, Indianapolis, IN, 462025109.

What is the Shelly J King's area of specialization and corresponding taxonomy classification?

The Shelly J King's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

When did the Shelly J King receive its 1427044874?

The Shelly J King was issued its 1427044874 on 2005-09-21, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Shelly J King most recently updated or revised?

The information pertaining to Shelly J King, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-17.

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