Individual
JENNIFER C EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(800) 860-8100
(574) 237-1341
Mailing address
3975 WILLIAM RICHARDSON DR, SOUTH BEND, IN 46628-9800
(800) 860-8100
(574) 237-1341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487885679
—
IN
Enumeration date
08/05/2009
Last updated
03/19/2012
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