CONNIE JO GAMBREL PMHNP-BC NPI 1740224401

NPI Information

NPI: 1740224401
Provider Name: CONNIE JO GAMBREL, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3924 S VILLAGE DRIVE
NEW PALESTINE, IN
ZIP 46163
Phone: (317) 861-5436
Get Directions

Connie Jo Gambrel, PMHNP-BC is a psychiatric/mental health nurse practitioner in New Palestine, IN. Connie Jo Gambrel, PMHNP-BC NPI is 1740224401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3924 S VILLAGE DRIVE
NEW PALESTINE, IN
ZIP 46163
Phone: (317) 861-5436
Fax: (317) 861-5436

The enumeration date for this NPI number is 6/15/2006 and was last updated on 12/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	70000110A	INDIANA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	28066452A	INDIANA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	70000110A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100323760A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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