Individual
JENNA STARR FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
10700 PARK PL, SAINT JOHN, IN 46373-8666
(800) 509-2800
(219) 365-3524
Mailing address
10700 PARK PL, SAINT JOHN, IN 46373-8666
(800) 509-2800
(219) 365-3524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201042875RN
OR
363L00000X
Nurse Practitioner
201801692NP-PP
OR
363L00000X
Nurse Practitioner
Primary
71011196A
IN
Other
Enumeration date
08/19/2017
Last updated
05/09/2023
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