Individual
JEFF A HIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2824 ELKHART RD, GOSHEN, IN 46526-1014
(574) 535-1700
Mailing address
16069 BRUNSWICK DR, GOSHEN, IN 46526-8932
(574) 238-6840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009206A
IN
Other
Enumeration date
07/09/2019
Last updated
01/12/2021
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