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

Annabel Lackey, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1275186892

Annabel Lackey, AGNP is a Gerontology Nurse Practitioner in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

3834 S Emerson Ave
Indianapolis, IN 46203-5901
Phone: (317) 781-2009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71009680A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28163199A (IN)

Record details

NPI number1275186892
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

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