Individual provider · Type 1 NPI

Tyler Lee Vernon, DO

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1558065094 Active

Practice location

10122 E 10th St Ste 100
Indianapolis, IN 46229-2697

Call (317) 355-5717 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X11023099A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558065094

Tyler Lee Vernon, DO's National Provider Identifier is 1558065094, issued on Mar 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 14, 2023.