Healthcare Provider Details

I. General information

NPI: 1043376924
Provider Name (Legal Business Name): DARCY L HENSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13121 OLIO ROAD SUITE 300
FISHERS IN
46037-7240
US

IV. Provider business mailing address

12985 LANTERN RD
FISHERS IN
46038-1046
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-1300
  • Fax: 317-621-1310
Mailing address:
  • Phone: 317-776-3914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01060902A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: