Healthcare Provider Details

I. General information

NPI: 1902384274
Provider Name (Legal Business Name): KARA JEAN ARMSTRONG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 E PAT RADY WAY
BAINBRIDGE IN
46105-5508
US

IV. Provider business mailing address

3939 S VILLAGE DR
NEW PALESTINE IN
46163-9581
US

V. Phone/Fax

Practice location:
  • Phone: 765-522-2556
  • Fax:
Mailing address:
  • Phone: 317-847-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number28204188A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71008294A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: