Individual
JAMIE M MARKULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
9120 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 703-5301
(219) 703-6718
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
28204648A
IN
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
71012539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300061751
—
IN
Enumeration date
04/29/2022
Last updated
05/27/2022
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