NPI 1124980776

Melissa Harris

Practitioner PACE Provider Organization Indianapolis, IN

Practice location

Address: 1403 Carroll White Dr, Indianapolis, IN 46219-3911
Phone: (317) 902-2025

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 25-019085-1 (IN)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Indiana →

Registry record

NPI: 1124980776
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2025
Record last updated: 2 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.