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Ms. Jena M Corban, MSN
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1134129919

Jena M Corban is a Family Nurse Practitioner based in Mishawaka, IN and is specialized in Family. Jena M Corban practices in Mishawaka, IN and has the professional credentials of MSN. The NPI Number for Jena M Corban is 1134129919 and holds a License No. 7100148A (Indiana).

The current practice location address for Jena M Corban is 270 E Day Rd, Mishawaka, IN and can be reached out via phone at 574-231-6190 and via fax at 574-247-1012.

Location: 270 E Day Rd, Mishawaka, IN, 46545-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134129919
Provider Name
Jena M Corban
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
270 E Day Rd, Mishawaka, IN, 46545-3444
Phone Number
574-231-6190
Fax Number
574-247-1012
Provider Enumeration Date
07/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200413370A 05 IN
institution
Provider Business Practice Location Address Details
Address
270 E Day Rd
City
Mishawaka
State
Indiana
Zip
46545-3444
Phone Number
574-231-6190
Fax Number
574-247-1012
person
Provider Business Mailing Address Details
Address
270 E Day Rd
City
Mishawaka
State
Indiana
Zip
46545-3444
Phone Number
574-231-6190
Fax Number
574-247-1012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
7100148A (Indiana)
Definition
Definition to come...
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