person
Ms. Jean Marie Decavitch, NP-C
Family Nurse Practitioner in Cedar Lake, Indiana
NPI 1982956017

Jean Marie Decavitch is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Jean Marie Decavitch practices in Cedar Lake, IN and has the professional credentials of NP-C. The NPI Number for Jean Marie Decavitch is 1982956017 and holds a License No. 28125157A (Indiana).

The current practice location address for Jean Marie Decavitch is 6831 W 133Rd Ave, Cedar Lake, IN and can be reached out via phone at 219-374-5970 and via fax at 219-374-7505. You can also correspond with Jean Marie Decavitch through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 6831 W 133Rd Ave, Cedar Lake, IN, 48278-1076
person
Provider Profile Details
NPI Number
1982956017
Provider Name
Jean Marie Decavitch
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
6831 W 133Rd Ave, Cedar Lake, IN, 48278-1076
Phone Number
219-374-5970
Fax Number
219-374-7505
Provider Enumeration Date
10/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201129930 05 IN
institution
Provider Business Practice Location Address Details
Address
6831 W 133Rd Ave
City
State
Zip
46303-8989
Phone Number
219-374-5970
Fax Number
219-374-7505
person
Provider Business Mailing Address Details
Address
Po Box 781076
City
State
Zip
48278-1076
Phone Number
317-528-4800
Fax Number
317-865-1479
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28125157A (Indiana)
Definition
Definition to come...
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