Individual provider · Type 1 NPI
Jacelyn Jo Hostetter, FNP-BC
Family Nurse Practitioner · South Bend, IN
NPI number
1831528942
Active
Practice location
615 N Michigan St, 1st Fl Hospitalist Ste
South Bend, IN 46601-1033
Fax (574) 647-1094
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71004807A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831528942
Jacelyn Jo Hostetter, FNP-BC's National Provider Identifier is 1831528942, issued on Nov 8, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Apr 28, 2023.