Healthcare Provider Details

I. General information

NPI: 1689140014
Provider Name (Legal Business Name): MEGAN SIMON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN JONES FNP-C

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1264 S STATE ROAD 3
RUSHVILLE IN
46173-8509
US

IV. Provider business mailing address

1300 N MAIN ST
RUSHVILLE IN
46173-1198
US

V. Phone/Fax

Practice location:
  • Phone: 765-932-7010
  • Fax: 765-932-7649
Mailing address:
  • Phone: 765-932-4111
  • Fax: 765-932-7505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71009525A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71009525A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: