Provider Demographics
NPI:1427483999
Name:PLUMMER, DEANNA LYNNE (FNP-C)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:LYNNE
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8967 N SCHULZE RD
Mailing Address - Street 2:
Mailing Address - City:EMISON
Mailing Address - State:IN
Mailing Address - Zip Code:47561-8385
Mailing Address - Country:US
Mailing Address - Phone:812-887-6551
Mailing Address - Fax:
Practice Address - Street 1:4480 FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28124859A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily