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Jennifer Eunice Mola
Family Nurse Practitioner in Portage, Indiana
NPI 1093430365

Jennifer Eunice Mola is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Jennifer Eunice Mola practices in Portage, IN. The NPI Number for Jennifer Eunice Mola is 1093430365 and holds a License No. 28207864A (Indiana).

The current practice location address for Jennifer Eunice Mola is 6131 Us Highway 6, Portage, IN and can be reached out via phone at 219-841-9788.

Location: 6131 Us Highway 6, Portage, IN, 46368-5058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093430365
Provider Name
Jennifer Eunice Mola
Credential
Provider Entity Type
Individual
Gender
Female
Address
6131 Us Highway 6, Portage, IN, 46368-5058
Phone Number
219-841-9788
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6131 Us Highway 6
City
Portage
State
Indiana
Zip
46368-5058
Phone Number
219-841-9788
Fax Number
person
Provider Business Mailing Address Details
Address
6131 Us Highway 6
City
Portage
State
Indiana
Zip
46368-5058
Phone Number
219-841-9788
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28207864A (Indiana)
Definition
Definition to come...
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