MS. Jean Marie Decavitch, NP-C
NPI #1982956017 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1982956017
- Entity Type
- Individual
- Name
- MS. Jean Marie Decavitch, NP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Oct 13, 2012
- Last Updated
- May 3, 2023
Practice Location
- Address
- 6831 W 133RD AVE
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303-8989
- Phone
- (219) 374-5970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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