Healthcare Provider Details

I. General information

NPI: 1396179537
Provider Name (Legal Business Name): ANDREA SUE TEARMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA SUE KINCAID NP

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8506 S ACADEMY WAY
LADOGA IN
47954-8112
US

IV. Provider business mailing address

PO BOX 24
NEW ALBANY IN
47151-0024
US

V. Phone/Fax

Practice location:
  • Phone: 812-441-4742
  • Fax:
Mailing address:
  • Phone: 812-441-4742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004583A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number28168090A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: