Individual
MRS. JENNIFER DIANE O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
Mailing address
5203 W CONCORD DR, LA PORTE, IN 46350-7314
(219) 344-7697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28175456A
IN
Other
Enumeration date
04/02/2018
Last updated
09/19/2025
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