Individual
MRS. JESSICA ERIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
205 N POPLAR, SILVERLAKE, IN 46982-0254
(574) 268-7382
Mailing address
PO BOX 54, SILVER LAKE, IN 46982-0054
(574) 268-7382
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0704661
IN
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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