Individual provider · Type 1 NPI
Kimberly Anne McGillicuddy, PMH-NP
Psychiatric/Mental Health Nurse Practitioner · Shelbyville, IN
NPI number
1255840401
Active
Practice location
2451 Intelliplex Dr Suite 260
Shelbyville, IN 46176-8580
Mailing address
30 W Rampart St Suite 200
Shelbyville, IN 46176-8846
Other practice locations
- 9670 E Washington St Ste 120, Indianapolis, IN 46229-3051 · (317) 890-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71007536A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71007536A (IN) |
| Registered Nurse | 163W00000X | 28199185A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255840401
Kimberly Anne McGillicuddy, PMH-NP's National Provider Identifier is 1255840401, issued on Sep 20, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shelbyville, IN. The record was last updated on Jul 21, 2022.