Healthcare Provider Details

I. General information

NPI: 1477379675
Provider Name (Legal Business Name): KAYLEIGH APPLETON RN, AGCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N SENATE AVE
INDIANAPOLIS IN
46202-5306
US

IV. Provider business mailing address

2561 BRIDLEWOOD DR
FRANKLIN IN
46131-5542
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-2000
  • Fax:
Mailing address:
  • Phone: 765-430-7764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number28248387A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: