Individual provider · Type 1 NPI

Chavonn L. Dedeaux, FNP-C

Family Nurse Practitioner · Merrillville, IN

NPI number 1255717096 Active

Practice location

5495 Broadway
Merrillville, IN 46410-1647

Mailing address

4187 Jefferson St
Gary, IN 46408-2833

Other practice locations

  • 3535 Broadway, Gary, IN 46409-1316 · (219) 884-4900
  • 4747 W 24th Ave, Gary, IN 46406-2821 · (219) 885-4264
  • 1100 W 6th Ave, Gary, IN 46402-1711 · (219) 885-4264

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF03240103 (IN)
Registered Nurse 163W00000X28246104A (IN)
Licensed Practical Nurse 164W00000X27071592A (IN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1255717096

Chavonn L. Dedeaux, FNP-C's National Provider Identifier is 1255717096, issued on Aug 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Merrillville, IN. The record was last updated on Mar 20, 2024.