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Individual

JALYN N DEERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
500 E 109TH AVE, CROWN POINT, IN 46307-7294
(219) 921-1444
(219) 921-5303
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
28245943A
IN
363L00000X
Nurse Practitioner
Primary
71008550A
IN

Other

Enumeration date
10/04/2018
Last updated
12/17/2024
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