person
Gennelle Katherine Lucid, FNP-BC
Family Nurse Practitioner in Beech Grove, Indiana
NPI 1649538166

Gennelle Katherine Lucid is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Gennelle Katherine Lucid practices in Beech Grove, IN and has the professional credentials of FNP-BC. The NPI Number for Gennelle Katherine Lucid is 1649538166 and holds a License No. 71004017A (Indiana).

The current practice location address for Gennelle Katherine Lucid is 2030 Churchman Ave, Beech Grove, IN and can be reached out via phone at 317-786-9285 and via fax at 317-781-2793. You can also correspond with Gennelle Katherine Lucid through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 2030 Churchman Ave, Beech Grove, IN, 48278-1076
person
Provider Profile Details
NPI Number
1649538166
Provider Name
Gennelle Katherine Lucid
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2030 Churchman Ave, Beech Grove, IN, 48278-1076
Phone Number
317-786-9285
Fax Number
317-781-2793
Provider Enumeration Date
05/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201091130 05 IN
institution
Provider Business Practice Location Address Details
Address
2030 Churchman Ave
City
State
Zip
46107-1044
Phone Number
317-786-9285
Fax Number
317-781-2793
person
Provider Business Mailing Address Details
Address
2030 Churchman Ave
City
State
Zip
46107-1044
Phone Number
317-786-9285
Fax Number
317-781-2793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71004017A (Indiana)
Definition
Definition to come...
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