Provider Demographics
NPI:1306732979
Name:NOURSE, SOMER RAE (DNP, PMHNP-BC, RN)
Entity type:Individual
Prefix:DR
First Name:SOMER
Middle Name:RAE
Last Name:NOURSE
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 HAMILTON DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47803-2411
Mailing Address - Country:US
Mailing Address - Phone:812-239-5664
Mailing Address - Fax:
Practice Address - Street 1:11495 PENNSYLVANIA ST STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6200
Practice Address - Country:US
Practice Address - Phone:317-804-3696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71016736A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health