MS. JENNIFER RENEE PRUZIN NP NPI 1336181973

NPI Information

NPI: 1336181973
Provider Name: MS. JENNIFER RENEE PRUZIN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
801 MACARTHUR BLVD
SUITE 401
MUNSTER, IN
ZIP 46321
Phone: (219) 836-7713
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MS. Jennifer Renee Pruzin, NP is a family nurse practitioner in Munster, IN. MS. Jennifer Renee Pruzin, NP NPI is 1336181973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 MACARTHUR BLVD
SUITE 401
MUNSTER, IN
ZIP 46321-915
Phone: (219) 836-7713
Fax: (219) 836-7083

The enumeration date for this NPI number is 6/11/2006 and was last updated on 1/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71001168A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P65039	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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