Individual
JENNIFER BIANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2959
(219) 836-1600
Mailing address
2515 LONGWOOD DR, HIGHLAND, IN 46322-5572
(219) 934-0005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28204745A
IN
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
71011256A
IN
Other
Enumeration date
07/27/2020
Last updated
07/08/2021
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