Individual
JACLYN ANN FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NAVARRE PL STE 5550, SOUTH BEND, IN 46601-1169
(574) 647-2550
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28265298A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
202325197
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078118
—
IN
Enumeration date
03/14/2023
Last updated
04/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us