Provider Demographics
NPI:1013883594
Name:CARNES, CHERYL LYNN (FNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:CARNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 N MERIDIAN ST STE 140
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5401
Mailing Address - Country:US
Mailing Address - Phone:765-388-9491
Mailing Address - Fax:
Practice Address - Street 1:64 N 500 E
Practice Address - Street 2:
Practice Address - City:HARTFORD CITY
Practice Address - State:IN
Practice Address - Zip Code:47348-9248
Practice Address - Country:US
Practice Address - Phone:765-348-0930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71017261A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily