Individual provider · Type 1 NPI

Jessica Stombaugh

Nurse Practitioner · Lafayette, IN

NPI number 1992473755 Active

Practice location

1345 Unity Pl Ste 145
Lafayette, IN 47905-5762

Fax (765) 446-5221

Mailing address

PO Box 4699
Lafayette, IN 47903-4699

Other practice locations

  • 975 Mezzanine Dr Ste C, Lafayette, IN 47905-8635 · (765) 446-5220
  • 5165 Mccarty Ln, Lafayette, IN 47905-8764 · (765) 448-8000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28165476A (IN)
Nurse Practitioner Primary 363L00000X71012747A (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 1992473755

Jessica Stombaugh's National Provider Identifier is 1992473755, issued on Sep 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lafayette, IN. The record was last updated on Aug 31, 2026.