Individual provider · Type 1 NPI

Oksana P. Jumanov

Nurse Practitioner · Goshen, IN

NPI number 1972477271 Active

Practice location

1808 Charlton Ct
Goshen, IN 46526-6463

Mailing address

10191 Forest Lakes Dr
Middlebury, IN 46540-9430

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X28234307A (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 1972477271

Oksana P. Jumanov's National Provider Identifier is 1972477271, issued on Oct 1, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Goshen, IN. The record was last updated on Oct 1, 2025.