Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Wound Care Specialists, LLC

Organization Family Nurse Practitioner · NPI 1578426813

Providence Wound Care Specialists, LLC is a Family Nurse Practitioner in Noblesville, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10917 Gossamer Ln
Noblesville, IN 46060-6106
Phone: (317) 365-6977
Fax: (317) 642-0687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1578426813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaekar Teah — Owner · (317) 701-5831
NPI enumeratedDecember 4, 2025
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address10917 Gossamer Ln, Noblesville, IN 46060-6106

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