Individual
JENNIFER AVERSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
85 E US HIGHWAY 6 STE 200, VALPARAISO, IN 46383-8947
(847) 962-4084
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(847) 962-4084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013004A
IN
Other
Enumeration date
05/16/2022
Last updated
02/13/2023
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