person
Deborah Lynn Wickenden, RN,NP
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1225218746

Deborah Lynn Wickenden is a Family Nurse Practitioner based in Valparaiso, IN and is specialized in Family. Deborah Lynn Wickenden practices in Mishawaka, IN and has the professional credentials of RN,NP. The NPI Number for Deborah Lynn Wickenden is 1225218746 and holds a License No. 71002529A (Indiana).

The current practice location address for Deborah Lynn Wickenden is 420 W 4Th St, Mishawaka, IN and can be reached out via phone at 574-307-7673 and via fax at 574-307-7692. You can also correspond with Deborah Lynn Wickenden through the mailing address at 2401 VALLEY DR, VALPARAISO, IN - 46383-2520 (mailing address contact number: ).

Location: 420 W 4Th St, Mishawaka, IN, 46383-2520
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Provider Profile Details
NPI Number
1225218746
Provider Name
Deborah Lynn Wickenden
Credential
RN,NP
Provider Entity Type
Individual
Gender
Female
Address
420 W 4Th St, Mishawaka, IN, 46383-2520
Phone Number
574-307-7673
Fax Number
574-307-7692
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71002529A 01 IN INDIANA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
420 W 4Th St
City
State
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
574-307-7692
person
Provider Business Mailing Address Details
Address
2401 Valley Dr
City
State
Zip
46383-2520
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002529A (Indiana)
Definition
Definition to come...
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