MEDICARE: MS FLOURISH MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1508795493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS FLOURISH MEDICAL LLC

Provider Business Mailing Address
First Line	:	2369 S OLD DITCH RD
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-7401
Country	:	US
Telephone Number	:	812-236-3143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2369 S OLD DITCH RD
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-7401
Country	:	US
Telephone Number	:	812-236-3143
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND NURSE PRACTITIONER
Name	:	MACKENZIE SHIREMAN
Credential	:	DNP, APRN, NP-C
Telephone Number	:	812-236-3143

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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Directions to “MS FLOURISH MEDICAL LLC ” Practice Location

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