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Shyanna Pettis
NPI 1962368860 · on the registry since 2026 · sole proprietor
Practice
- Address
- 3725 Bonn Blvd
Indianapolis, IN 46228 - Phone
- (317) 457-6479
- Organisation at this address
- Purpose Driven Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana