Individual
JESSICA ZANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 GETTLER ST STE 415, DYER, IN 46311-2381
(219) 864-7782
(219) 864-7792
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28245629A
IN
363L00000X
Nurse Practitioner
Primary
71010111A
IN
Other
Enumeration date
06/02/2020
Last updated
10/20/2023
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