Provider Demographics
NPI:1578978011
Name:FERRON, TA'MELLA (NP)
Entity Type:Individual
Prefix:
First Name:TA'MELLA
Middle Name:
Last Name:FERRON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7143 MORELLO LN
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-8438
Mailing Address - Country:US
Mailing Address - Phone:317-379-3141
Mailing Address - Fax:
Practice Address - Street 1:7143 MORELLO LN
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-8438
Practice Address - Country:US
Practice Address - Phone:317-379-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004981A363LG0600X
IN28196100A363LG0600X
TXAP128230363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology