Healthcare Provider Details

I. General information

NPI: 1427841741
Provider Name (Legal Business Name): JOANNE KREPPS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOANNA KREPPS NP

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 KESSLER BOULEVARD EAST DR STE 200
INDIANAPOLIS IN
46220-2889
US

IV. Provider business mailing address

2620 KESSLER BOULEVARD EAST DR STE 200
INDIANAPOLIS IN
46220-2889
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-1000
  • Fax:
Mailing address:
  • Phone: 317-415-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number28216467A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: