Individual provider · Type 1 NPI

Jacob Floyd Keultjes, MSN, FNP-C

Family Nurse Practitioner · Elkhart, IN

NPI number 1336830454 Active

Practice location

500 Arcade Ave Ste 320
Elkhart, IN 46514-2477

Fax (574) 523-7909

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

  • 500 Arcade Ave Ste 300, Elkhart, IN 46514-2486 · (574) 389-7362

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71014104A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1336830454

Jacob Floyd Keultjes, MSN, FNP-C's National Provider Identifier is 1336830454, issued on May 18, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elkhart, IN. The record was last updated on Feb 3, 2026.