Individual provider · Type 1 NPI

Jeremy Michaelis, NP-C

Nurse Practitioner · East Chicago, IN

NPI number 1316611361 Active

Practice location

2323 Broadway St
East Chicago, IN 46312

Fax (219) 354-0900

Mailing address

1001 Sturdy Rd
Valparaiso, IN 46383-4126

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71011400A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316611361

Jeremy Michaelis, NP-C's National Provider Identifier is 1316611361, issued on Aug 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Chicago, IN. The record was last updated on Sep 22, 2022.