Individual provider · Type 1 NPI

Aliesha Renae Long

Family Nurse Practitioner · Lafayette, IN

NPI number 1518764083 Active

Practice location

2200 Elmwood Ave Ste D11
Lafayette, IN 47904-2391

Call (765) 756-5077 Map

Mailing address

6241 N County Road 700 W
Mulberry, IN 46058-9471

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28262675A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1518764083

Aliesha Renae Long's National Provider Identifier is 1518764083, issued on Mar 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, IN. The record was last updated on Apr 3, 2025.