Healthcare Provider Details

I. General information

NPI: 1760573158
Provider Name (Legal Business Name): FRANKIE LANE WHITESEL PMHCNS,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANKIE LANE WHITESEL PMHCNS,BC

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 08/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 W 10TH ST
INDIANAPOLIS IN
46202-2803
US

IV. Provider business mailing address

1481 W 10TH ST
INDIANAPOLIS IN
46202-2803
US

V. Phone/Fax

Practice location:
  • Phone: 317-988-2388
  • Fax: 317-988-3278
Mailing address:
  • Phone: 317-988-2388
  • Fax: 317-988-3278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28077612A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number70000186A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number70000186A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License Number70000186A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number70000186A
License Number StateIN
# 6
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number70000186A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: