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NPI Code Detail

MEDICARE: MRS. LAUREN MICHELLE ALCORN PMHNP-BC, MSN, RN

MEDICARE:  MRS. LAUREN MICHELLE ALCORN  PMHNP-BC, MSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner71011258AIN

General Provider Information

NPI Number : 1396315354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN MICHELLE ALCORN PMHNP-BC, MSN, RN
Provider Business Mailing Address
First Line : 7440 N SHADELAND AVE STE 204
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2027
Country : US
Telephone Number : 765-491-1026
Fax Number : 888-400-7207
Provider Business Practice Location Address
First Line : 7440 N SHADELAND AVE STE 204
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2027
Country : US
Telephone Number : 317-603-4152
Fax Number : 888-400-7207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 09/20/2023

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Directions to “ MRS. LAUREN MICHELLE ALCORN PMHNP-BC, MSN, RN” Practice Location

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