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Jeremy Lee Wilt, NP
Family Nurse Practitioner in Charlestown, Indiana
NPI 1043689672

Jeremy Lee Wilt is a Family Nurse Practitioner based in Charlestown, IN and is specialized in Family. Jeremy Lee Wilt practices in Charlestown, IN and has the professional credentials of NP. The NPI Number for Jeremy Lee Wilt is 1043689672 and holds a License No. 71005761A (Indiana).

The current practice location address for Jeremy Lee Wilt is 9431 County Road 403, Charlestown, IN and can be reached out via phone at 812-256-6391.

Location: 9431 County Road 403, Charlestown, IN, 47111-8946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043689672
Provider Name
Jeremy Lee Wilt
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
9431 County Road 403, Charlestown, IN, 47111-8946
Phone Number
812-256-6391
Fax Number
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0915751 01 IN AANP CERTIFICATION
28165750A 01 IN INDIANA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
9431 County Road 403
City
Charlestown
State
Indiana
Zip
47111-8946
Phone Number
812-256-6391
Fax Number
person
Provider Business Mailing Address Details
Address
9431 County Road 403
City
Charlestown
State
Indiana
Zip
47111-8946
Phone Number
812-256-6391
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
28165750A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71005761A (Indiana)
Definition
Definition to come...
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