Healthcare Provider Details

I. General information

NPI: 1760502769
Provider Name (Legal Business Name): MARY PATRICIA HESSION CNS,APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 W 96TH ST
INDIANAPOLIS IN
46268-1106
US

IV. Provider business mailing address

4210 ANSAR LN
INDIANAPOLIS IN
46254-3126
US

V. Phone/Fax

Practice location:
  • Phone: 317-876-3699
  • Fax: 317-876-3600
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number70000180A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number70000180A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: