Luking, Carissa Renae

Luking, Carissa Renae is an individual health care provider with primary practice located at 903 N 7Th St , Vincennes IN 47591-3107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Luking, Carissa Renae can be contacted via phone (812) 316-0707.

Contact Information

Primary practice address
903 N 7Th St Vincennes IN 47591-3107
Phone: (812) 316-0707
Fax: (812) 316-0702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004665A Indiana

Profile Details

NPI number 1194152231
LBN Legal business name Luking, Carissa Renae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2013
Last updated Mar 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194152231 NPPES
Indiana Other 71004665A LICENSE
Indiana MEDICAID 201193500 LICENSE

Popular Providers