Individual provider · Type 1 NPI

Kensie Waller, FNP

Family Nurse Practitioner · Indianapolis, IN

NPI number 1730635681 Active

Practice location

3834 S. Emerson Ave, Bldg C, Ste 100
Indianapolis, IN 46203

Fax (317) 780-5538

Mailing address

PO Box 3299
Carson City, NV 89702-3299

Other practice locations

  • 2500 N Elm St, Henderson, KY 42420-2005 · (731) 394-1145
  • 525 Bentee Wes Ct, Evansville, IN 47715-4071 · (731) 394-1145

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28216896A (IN)
Family Nurse Practitioner 363LF0000X4064688 (KY)
Family Nurse Practitioner Primary 363LF0000X71006978A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1730635681

Kensie Waller, FNP's National Provider Identifier is 1730635681, issued on Aug 31, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 19, 2026.