Healthcare Provider Details

I. General information

NPI: 1578496220
Provider Name (Legal Business Name): MCAFEE CLINICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WHITLATCH WAY
MILAN IN
47031-8362
US

IV. Provider business mailing address

178 HARVEST LN
VERSAILLES IN
47042-9032
US

V. Phone/Fax

Practice location:
  • Phone: 317-373-4058
  • Fax: 317-373-4058
Mailing address:
  • Phone: 317-373-4058
  • Fax: 317-373-4058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY STEPHEN MCAFEE
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 317-373-4058