Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tri State Immunization Group Inc

Organization Registered Nurse · NPI 1477993939

Tri State Immunization Group Inc provides Registered Nurse services in Evansville, Indiana. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Plaza East Blvd Ste 107
Evansville, IN 47715-2804 Not confirmed with CMS for 13 years — call before visiting
Phone: (812) 402-6000
Fax: (812) 402-6012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1477993939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Burgess — Owner · (812) 402-6000
Other names Passport Health Of Evansville
NPI enumeratedJune 28, 2013
Last updated in NPPESJune 29, 2013
Mailing address101 Plaza East Blvd, Ste 107, Evansville, IN 47715-2804

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