MR. Jonathan Michael Fansler, NP

NPI #1366193377 in Lagrange, Indiana

Provider Information

NPI Number: 1366193377
Entity Type: Individual
Name: MR. Jonathan Michael Fansler, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Jan 11, 2022
Last Updated: Sep 19, 2025

Practice Location

Address: 2500 N DETROIT ST
City: Lagrange
State: Indiana
ZIP Code: 46761-1158
Phone: (260) 463-2133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary
Registered Nurse	163W00000X

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