Individual
MRS. JENNIFER ANN MERTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1640 CRAWFORDSVILLE SQUARE DR, CRAWFORDSVILLE, IN 47933-3800
(765) 362-5789
(765) 362-2453
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
Primary
71008217A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018651
—
IN
Enumeration date
01/29/2018
Last updated
03/13/2021
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