Individual
JESSICA ROSE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
Mailing address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 983-2926
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
28230582A
IN
363LF0000X
Family Nurse Practitioner
71011563A
IN
Other
Enumeration date
08/13/2021
Last updated
05/02/2024
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