Diehl, Jessica

Diehl, Jessica is an individual health care provider with primary practice located at 2307 Laporte Ave Ste 8 , Valparaiso IN 46383-6997. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Diehl, Jessica can be contacted via phone (219) 464-7073.

Contact Information

Primary practice address
2307 Laporte Ave Ste 8 Valparaiso IN 46383-6997
Phone: (219) 464-7073
Fax: (219) 464-7543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11007660 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11007660 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71015029A Indiana

Profile Details

NPI number 1003432576
LBN Legal business name Diehl, Jessica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated May 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003432576 NPPES
Florida Other 9PSOV BCBS
Florida MEDICAID 107241700 BCBS

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