Healthcare Provider Details

I. General information

NPI: 1144024571
Provider Name (Legal Business Name): REBEKAH JOY DELANEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7199 EAST STREET
FISHERS IN
46038
US

IV. Provider business mailing address

10328 LAKELAND DR
FISHERS IN
46037-9323
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-6110
  • Fax:
Mailing address:
  • Phone: 256-425-6936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71016392A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: