Healthcare Provider Details

I. General information

NPI: 1447865159
Provider Name (Legal Business Name): NICHOLE RENEE SEBESKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 W JEFFERSON ST
FRANKLIN IN
46131-2140
US

IV. Provider business mailing address

PO BOX 800
FRANKLIN IN
46131-0800
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-3300
  • Fax:
Mailing address:
  • Phone: 317-346-3883
  • Fax: 317-346-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number28192022A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number28192022A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: