Individual
JEAN RIENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
53300 BONVALE DR, SOUTH BEND, IN 46635-1383
(574) 360-7817
Mailing address
53300 BONVALE DR, SOUTH BEND, IN 46635-1383
(574) 360-7817
(574) 360-7817
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
28079029A
IN
171M00000X
Case Manager/Care Coordinator
Primary
28079029A
IN
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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