Individual
MRS. JACQUELYN RAQUEL ADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10012 CALUMET AVE STE A, MUNSTER, IN 46321-4055
(219) 227-5119
(219) 227-5190
Mailing address
1426 GATES DR, SCHERERVILLE, IN 46375-6014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004271A
IN
Other
Enumeration date
12/26/2012
Last updated
04/13/2025
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