Provider Demographics
NPI:1285892794
Name:THURMAN, BILLIE J (NP)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:J
Last Name:THURMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:J
Other - Last Name:BONEBRAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:IN
Mailing Address - Zip Code:47882-0010
Mailing Address - Country:US
Mailing Address - Phone:812-268-4311
Mailing Address - Fax:812-268-2609
Practice Address - Street 1:2200 N SECTION ST
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:IN
Practice Address - Zip Code:47882-7523
Practice Address - Country:US
Practice Address - Phone:812-268-4311
Practice Address - Fax:812-268-2609
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002638A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00844290OtherRAILROAD MEDICARE
INP00757869OtherRAILROAD MEDICARE
IN859910D7Medicare PIN
IN265130VMedicare PIN
INP00757869OtherRAILROAD MEDICARE
IN230650KMedicare PIN