Individual
MRS. JESSICA RAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4320 FIR ST, SUITE 320, EAST CHICAGO, IN 46312-3076
(219) 392-7992
Mailing address
4320 FIR STREET, SUITE 320, EAST CHICAGO, IN 46312
(219) 392-7992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007243A
IN
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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