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2911 Jeremiah
Psychiatric/Mental Health Nurse Practitioner in Portland, Indiana
NPI 1760162523

2911 Jeremiah is a Psychiatric/Mental Health Nurse Practitioner based in Fort Ashby, IN and is specialized in Psychiatric/Mental Health. 2911 Jeremiah practices in Portland, IN. The NPI Number for 2911 Jeremiah is 1760162523 and holds a License No. (Indiana).

The current practice location address for 2911 Jeremiah is 101 Oak St, Portland, IN and can be reached out via phone at 260-705-3515.

Location: 101 Oak St, Portland, IN, 26719-1034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760162523
Provider Name
2911 Jeremiah
Credential
Provider Entity Type
Organization
Address
101 Oak St, Portland, IN, 26719-1034
Phone Number
260-705-3515
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
101 Oak St
City
Portland
State
Indiana
Zip
47371-3040
Phone Number
260-705-3515
Fax Number
person
Provider Business Mailing Address Details
Address
101 Oak St
City
Portland
State
Indiana
Zip
47371-3040
Phone Number
260-705-3515
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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