Individual provider · Type 1 NPI
Ashlee Mack, AGACNP, PMHNP
Nurse Practitioner · Indianapolis, IN
Practice location
4333 Village Trace Ct
Indianapolis, IN 46254-6232
Fax (317) 342-8372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71011610A (IN) |
| Acute Care Nurse Practitioner | 363LA2100X | 71011610A (IN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71011610A (IN) |
| Gerontology Nurse Practitioner | 363LG0600X | 71011610A (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 1942811682
Ashlee Mack, AGACNP, PMHNP's National Provider Identifier is 1942811682, issued on Aug 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 8, 2026.