Individual
JACLYN GALE SEREMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
840 RICHARD RD STE 2, DYER, IN 46311-1994
(219) 322-1450
(219) 322-8260
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28149898A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003841A
IN
Other
Enumeration date
12/14/2011
Last updated
09/20/2023
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