Individual
MS. JOHNELL J TREESH-VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT NP, MS
Contact information
Practice address
7910 W JEFFERSON BLVD, MEDICAL OFFICE BUILDING 2, SUITE 200, FORT WAYNE, IN 46804-4159
(260) 435-7433
(260) 435-7615
Mailing address
7910 W JEFFERSON BLVD, MEDICAL OFFICE BUILDING 2, SUITE 200, FORT WAYNE, IN 46804-4159
(260) 435-7433
(260) 435-7615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28137064A
IN
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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