CONNIE JO GAMBREL


Address: 3924 S Village Drive, New Palestine, IN 46163
Phone: 3178615436

CONNIE JO GAMBREL (NPI# 1740224401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740224401
Entity Type Individual
Full Name CONNIE JO GAMBREL
Credential PMHNP-BC
Practice Address 3924 S Village Drive
New Palestine
IN 46163
Practice Telephone 3178615436
Practice Fax Number 3178615436
Mailing Telephone 3178615436
Mailing Fax Number 3178615436
Enumeration Date 2006-06-15
Last Update Date 2019-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
70000110A IN Nursing Service Providers
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
28066452A IN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
70000110A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100323760A 05

Office Location

Street Address 3924 S VILLAGE DRIVE
City NEW PALESTINE
State IN
Zip Code 46163

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851657217 Robert Philip Romano Pharmacist 2461 S Wildflower Lane, New Palestine, IN 46163 2012-04-10
1811022106 Angela Dawn Marrow Physical Therapy Assistant 4919 W 1120 N, Newpalestine, IN 46163 2007-02-23
1588733596 Sharon Paluga-staggs Dentist 4037 S Arbor Lane, New Palestine, IN 46163 2006-11-06
1669575387 Hook Superx LLC Pharmacy 5026 West Us 52, New Palestine, IN 46163 2006-09-07
1508970575 Community Hospitals of Indiana Pediatrics 4037 S. Arbor Lane, Suite D, New Palestine, IN 46163 2006-08-18
1265979108 Chanel Herbertz Nurse Practitioner 5026 W Us 52, New Palestine, IN 46163 2017-01-30
1124463534 Hoosier Hear Gear, LLC Clinic/Center 6375 W Us 52, New Palestine, IN 46163 2013-04-30
1376727578 Heather Lynn Campbell Specialist/Technologist 1 School Street, New Palestine, IN 46163 2007-12-24
1538239447 Sharon Paluga-staggs D.d.s., P.C. Dentist 4037 S Arbor Lane, New Palestine, IN 46163 2006-11-08
1538400940 Brian Patrick Jennings Chiropractor 4056 S. Arbor Lane, Suite 100, New Palestine, IN 46163-0476 2013-03-11
Find all providers in zip 46163

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1770114118 Abbey Bolden Nurse Practitioner 929 Miller Ct, Greenfield, IN 46140-7267 2020-02-03
1376184556 Carrie Mefford Nurse Practitioner 5435 E 16th St, Indianapolis, IN 46218-4869 2019-09-30
1700430006 Lusine Vardanyan Nurse Practitioner Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 2019-07-25
1134780851 Eric Lyakhovetsky Nurse Practitioner 327 W Saidah Rd, Bloomington, IN 47404-8965 2019-06-24
1124599394 Adria Dawn Thornburgh Nurse Practitioner 6235 Forest View Dr, Indianapolis, IN 46260-4707 2018-12-16
1033693213 Katie Marie Feeney Nurse Practitioner Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 2018-09-24
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Competitor

Search similar providers

City NEW PALESTINE
Zip Code 46163

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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