Healthcare Provider Details

I. General information

NPI: 1366370355
Provider Name (Legal Business Name): SUKHPAL KAUR MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6145 CREEKSIDE CT
AVON IN
46123-7811
US

IV. Provider business mailing address

6145 CREEKSIDE CT
AVON IN
46123-7811
US

V. Phone/Fax

Practice location:
  • Phone: 848-391-7491
  • Fax:
Mailing address:
  • Phone: 848-391-7491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number28264495A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: