Individual provider · Type 1 NPI

Carolyn R. Fegenbush, ARNP

Nurse Practitioner · Jeffersonville, IN

NPI number 1629009790 Active

Practice location

1802 E 10th St
Jeffersonville, IN 47130-6016

Call (812) 288-2488 Map

Fax (770) 573-9513

Mailing address

2100 Market St Ste 101
Charlestown, IN 47111-9535

Other practice locations

815 Short St, Charlestown, IN 47111-1241 · (812) 503-5100
1804 E 10th St, Jeffersonville, IN 47130-6016 · (812) 288-2488

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician	207QA0401X	71001579A (IN)
Nurse Practitioner Primary	363L00000X	71001579A (IN)

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…

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About NPI 1629009790

Carolyn R. Fegenbush, ARNP's National Provider Identifier is 1629009790, issued on Jul 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jeffersonville, IN. The record was last updated on Nov 8, 2021.