Individual provider · Type 1 NPI

Jessica Lee Vander Molen

Family Nurse Practitioner · Goshen, IN

NPI number 1235023219 Active

Practice location

200 High Park Ave
Goshen, IN 46526-4810

Fax (574) 364-2590

Mailing address

PO Box 834
Goshen, IN 46527-0834

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71016764A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1235023219

Jessica Lee Vander Molen's National Provider Identifier is 1235023219, issued on Jun 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Goshen, IN. The record was last updated on May 5, 2026.