Provider Demographics
NPI:1841862851
Name:VOORHIES, MANDY M (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MANDY
Middle Name:M
Last Name:VOORHIES
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:MANDY
Other - Middle Name:M
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:PO BOX 44246
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46244-0246
Mailing Address - Country:US
Mailing Address - Phone:727-383-7692
Mailing Address - Fax:219-234-8892
Practice Address - Street 1:306 N DAVIS DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3150
Practice Address - Country:US
Practice Address - Phone:812-381-5961
Practice Address - Fax:219-234-8892
Is Sole Proprietor?:No
Enumeration Date:2021-07-11
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011261A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300059091Medicaid