Individual provider · Type 1 NPI

Jessica Zandy

Nurse Practitioner · Dyer, IN

NPI number 1972127264 Active

Practice location

2150 Gettler St Ste 415
Dyer, IN 46311-2381

Fax (219) 864-7792

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X28245629A (IN)
Nurse Practitioner Primary 363L00000X71010111A (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 1972127264

Jessica Zandy's National Provider Identifier is 1972127264, issued on Jun 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dyer, IN. The record was last updated on Oct 20, 2023.