Individual
MRS. JEINETTE JAVIER SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12750 SAINT FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 852-1524
(219) 933-2288
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
71010229A
IN
Other
Enumeration date
06/29/2020
Last updated
03/06/2024
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