Healthcare Provider Details

I. General information

NPI: 1043141914
Provider Name (Legal Business Name): AMBER SINCLAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 RONALD REAGAN PKWY STE 364
AVON IN
46123-6914
US

IV. Provider business mailing address

3295 HAWKING CT
DANVILLE IN
46122-5537
US

V. Phone/Fax

Practice location:
  • Phone: 317-217-2711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71018171A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: