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Contact Information

STACI J MIDDLETON, NP
1000 S MAIN ST
SUITE C
TIPTON, IN46072
 Phone: 765-675-1759
 Fax: 765-675-6704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STACI J MIDDLETON · (Female)

NPI # 1942062526
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/29/2024
Last updated 08/07/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 71014901A
  • IN Medicaid 300088236
  • IN Other 1103838077 ANTHEM PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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