Individual
MRS. JESSICA RUTH BLEYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1740 CAPE CHARLES CT, CICERO, IN 46034-9624
(317) 517-3515
Mailing address
1740 CAPE CHARLES CT, CICERO, IN 46034-9624
(317) 517-3515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005373A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71005373B
IN
Other
Enumeration date
03/02/2015
Last updated
09/16/2022
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