Individual
JEANNE B SCHRAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3175 LANCER ST, PORTAGE, IN 46368-4407
(219) 762-9571
Mailing address
PO BOX 678691, DALLAS, TX 75267-8691
(972) 758-3598
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28135289A
IN
363LF0000X
Family Nurse Practitioner
209008076
IL
363LF0000X
Family Nurse Practitioner
Primary
71002802
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000622248
ANTHEM BCBS
IN
05
—
200941850
—
IN
Enumeration date
01/15/2009
Last updated
08/14/2024
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