Provider Demographics
NPI:1770648883
Name:AKERS, REBECCA ANN (ANP, FNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:AKERS
Suffix:
Gender:F
Credentials:ANP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WILLOW ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1028
Mailing Address - Country:US
Mailing Address - Phone:812-885-8040
Mailing Address - Fax:812-885-8043
Practice Address - Street 1:700 WILLOW ST
Practice Address - Street 2:SUITE 200
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1028
Practice Address - Country:US
Practice Address - Phone:812-885-8040
Practice Address - Fax:812-885-8043
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001287A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000594762OtherANTHEM
IN200881760Medicaid
INP75473Medicare UPIN
IN444370BMedicare PIN
IN200881760Medicaid