Healthcare Provider Details

I. General information

NPI: 1720347065
Provider Name (Legal Business Name): JAMES B DOZIER N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10590 N MERIDIAN ST
CARMEL IN
46290-1028
US

IV. Provider business mailing address

10590 N MERIDIAN ST
CARMEL IN
46290-1028
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-6666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN181191
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024174950
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number281124
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71005965A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: