Healthcare Provider Details

I. General information

NPI: 1386626927
Provider Name (Legal Business Name): RORY L. DUPLANTIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RORY LYNNE HERRON NP

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 EMERSON PKWY SUITE B
GREENWOOD IN
46143-6273
US

IV. Provider business mailing address

DEPT. 453 PO BOX 1000
MEMPHIS TN
38148-0001
US

V. Phone/Fax

Practice location:
  • Phone: 317-865-0055
  • Fax: 317-865-0056
Mailing address:
  • Phone: 828-575-2625
  • Fax: 828-350-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71000741A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: