Individual
JILL MAUREEN DIEDRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5920
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28080833A
IN
363LF0000X
Family Nurse Practitioner
Primary
28080833A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641072
ANTHEM
IN
01
—
P00826227
R.R. MEDICARE
IN
Enumeration date
02/19/2009
Last updated
10/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us