Individual
JENNIFER WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 LAPORTE AVE STE 8, VALPARAISO, IN 46383-6997
(219) 464-7073
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28142354A
IN
363LF0000X
Family Nurse Practitioner
Primary
71016337A
IN
Other
Enumeration date
12/16/2024
Last updated
03/24/2025
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