Individual
JESSICA L SLEESMAN-VITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
409 E WASHINGTON ST, BUTLER, IN 46721-1175
(260) 920-2000
(260) 920-2005
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28177718A
IN
363L00000X
Nurse Practitioner
Primary
71004599A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201184480
—
IN
Enumeration date
07/12/2013
Last updated
01/31/2020
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