Healthcare Provider Details

I. General information

NPI: 1295671907
Provider Name (Legal Business Name): C&C HEALTHCARE AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N JEFFERSON ST
HARTFORD CITY IN
47348-2201
US

IV. Provider business mailing address

120 N JEFFERSON ST
HARTFORD CITY IN
47348-2201
US

V. Phone/Fax

Practice location:
  • Phone: 765-499-1126
  • Fax: 765-662-7090
Mailing address:
  • Phone: 765-499-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERYL LYNN CARNES
Title or Position: PROVIDER/PARTNER
Credential: FNP
Phone: 765-215-1999