Provider Demographics
NPI:1093407041
Name:HARMON, AMANDA L (APRN, WHNP-BC, IBCLC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:L
Last Name:HARMON
Suffix:
Gender:F
Credentials:APRN, WHNP-BC, IBCLC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-0800
Mailing Address - Country:US
Mailing Address - Phone:317-736-3572
Mailing Address - Fax:317-736-2662
Practice Address - Street 1:1125 W JEFFERSON ST STE S200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2140
Practice Address - Country:US
Practice Address - Phone:317-736-0630
Practice Address - Fax:317-738-0737
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28164614A163WL0100X
IN71013997A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant