Healthcare Provider Details

I. General information

NPI: 1932028693
Provider Name (Legal Business Name): KINSHANNA ARMSTRONG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8065 ARVADA PL
INDIANAPOLIS IN
46236-6517
US

IV. Provider business mailing address

8065 ARVADA PL
INDIANAPOLIS IN
46236-6517
US

V. Phone/Fax

Practice location:
  • Phone: 317-828-7715
  • Fax:
Mailing address:
  • Phone: 317-828-7715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number28234919A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: