AUTUMN NICHOLE KIRK FNP NPI 1912482936

NPI Information

NPI: 1912482936
Provider Name: AUTUMN NICHOLE KIRK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
104 E CULVER RD STE 102
KNOX, IN
ZIP 46534
Phone: (574) 772-7918
Get Directions

Autumn Nichole Kirk, FNP is a family nurse practitioner in Knox, IN with 6 years of experience. Autumn Nichole Kirk, FNP NPI is 1912482936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 E CULVER RD STE 102
KNOX, IN
ZIP 46534-241
Phone: (574) 772-7918
Fax: (574) 772-0894

The NPI 1912482936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2018 and was last updated on 10/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28172692A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71008625A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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