Individual provider · Type 1 NPI

Sedra Jo Ketcham, APRN

Adult Health Nurse Practitioner · South Bend, IN

NPI number 1578803045 Active

Practice location

615 N Michigan St, 1st Fl Hospitalist Ste
South Bend, IN 46601-1033

Mailing address

3245 Health Drive, Suite 100
Granger, IN 46530-3245

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X71010526A (IN)
Adult Health Nurse Practitioner 363LA2200X2014013264 (MO)
Gerontology Nurse Practitioner 363LG0600X2014013264 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1578803045

Sedra Jo Ketcham, APRN's National Provider Identifier is 1578803045, issued on Feb 21, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Bend, IN. The record was last updated on May 1, 2023.