Individual
JEREMY L GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
(574) 247-9442
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28200911A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008859A
IN
Other
Enumeration date
01/25/2019
Last updated
12/11/2025
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