Healthcare Provider Details

I. General information

NPI: 1811807498
Provider Name (Legal Business Name): NICHOLE VALERIE SCOTT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 W MICHIGAN ST
INDIANAPOLIS IN
46202-5201
US

IV. Provider business mailing address

1406 CHARLESTON CT
AVON IN
46123-8396
US

V. Phone/Fax

Practice location:
  • Phone: 317-948-7583
  • Fax: 317-968-1118
Mailing address:
  • Phone: 317-361-6245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number28179326A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: