Organization · Type 2 NPI

FC Indiana, LLC

Nurse Practitioner · Bedford, IN

NPI number 1225579063 Active

Practice location

2418 16th St
Bedford, IN 47421-3049

Fax (812) 508-8684

Mailing address

PO Box 40166
Nashville, TN 37204-0166

Other practice locations

  • 2422 16th St, Bedford, IN 47421-3049 · (615) 571-1179

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

About NPI 1225579063

FC Indiana, LLC's National Provider Identifier is 1225579063, issued on Mar 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bedford, IN. The record was last updated on Mar 11, 2024.