Individual
JANA SCHENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7673
(574) 307-7692
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(888) 580-1060
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000283A
IN
367A00000X
Advanced Practice Midwife
4704278413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193380064
MEDICARE PTAN
—
05
—
201406010
—
IN
Enumeration date
09/16/2015
Last updated
02/01/2019
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