Wellman, Justina Breighann

Wellman, Justina Breighann is an individual health care provider with primary practice located at 1402 E County Line Rd , Indianapolis IN 46227-0963. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wellman, Justina Breighann can be contacted via phone (317) 887-7805.

Contact Information

Primary practice address
1402 E County Line Rd Indianapolis IN 46227-0963
Phone: (317) 887-7805
Fax: (317) 497-6982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71007552A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71007552A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71007552A Indiana

Profile Details

NPI number 1225557168
LBN Legal business name Wellman, Justina Breighann
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Nov 27th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225557168 NPPES
Indiana MEDICAID 300008560

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