Individual
KIMBERLY A JAYJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS
Contact information
Practice address
7214 JEFFREY ST, SCHERERVILLE, IN 46375-3511
(219) 865-9312
Mailing address
7214 JEFFREY ST, SCHERERVILLE, IN 46375-3511
(219) 765-5207
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
280994705A
IN
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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