Healthcare Provider Details

I. General information

NPI: 1982417994
Provider Name (Legal Business Name): AMY RENEE LIPSCOMB APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY RENEE MORRIS NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S GOPHER DR
FRANKFORT IN
46041-6800
US

IV. Provider business mailing address

4959 REAVIE CT
NOBLESVILLE IN
46062-7077
US

V. Phone/Fax

Practice location:
  • Phone: 765-650-7875
  • Fax:
Mailing address:
  • Phone: 317-209-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number28180064A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: