Individual
JENNIFER GUARDADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
(574) 534-3300
Mailing address
57788 AMBER VALLEY DR, ELKHART, IN 46517-8671
(574) 903-3937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28245086A
IN
363LF0000X
Family Nurse Practitioner
Primary
71016979A
IN
Other
Enumeration date
06/05/2025
Last updated
12/04/2025
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