Provider Demographics
NPI:1386626927
Name:DUPLANTIER, RORY L (NP)
Entity Type:Individual
Prefix:MRS
First Name:RORY
Middle Name:L
Last Name:DUPLANTIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:RORY
Other - Middle Name:LYNNE
Other - Last Name:HERRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:DEPT. 453 PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:965 EMERSON PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6273
Practice Address - Country:US
Practice Address - Phone:317-865-0055
Practice Address - Fax:317-865-0056
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000741A363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1125022OtherMEDICARE PTAN
IN200954030Medicaid
ININ1127021OtherMEDICARE PTAN