Regina R. Jasiewicz in South Bend - Family
Regina R. Jasiewicz - NPI 1033119904
Regina R. Jasiewicz is a Family in South Bend, Indiana. Regina R. Jasiewicz practices all healthcare services and medical treatments related to Family. The NPI Number for Regina R. Jasiewicz is 1033119904. The last update date is 2016-09-07.
Regina R. Jasiewicz's current location address is 211 N Eddy St, South Bend, Indiana. You can contact this provider via phone number 5742379231 and fax number 5742379208. The mailing address for Regina R. Jasiewicz is 211 N Eddy St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina R. Jasiewicz |
|---|---|
| Address | 211 N Eddy St, South Bend, Indiana |
| Phone Number | 5742379231 |
| Fax Number | 5742379208 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1033119904 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2016-09-07 |
Provider Mailing Address Detail
| Address | 211 N Eddy St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172808 |
| Phone Number | 5742379231 |
| Fax Number | 5742379208 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71000519A |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200191990A | IN | -- |
Post Comment/ Review Below
What is the Regina R. Jasiewicz's unique identification number?
The Regina R. Jasiewicz has been assigned the NPI (National Provider Identifier) Number 1033119904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Regina R. Jasiewicz located?
The Regina R. Jasiewicz is located at 211 N Eddy St, South Bend, IN 466172808.
What is the Regina R. Jasiewicz's specialty and taxonomy code?
The Regina R. Jasiewicz's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033119904 to Regina R. Jasiewicz?
The Centers for Medicare & Medicaid Services assigned the 1033119904 to Regina R. Jasiewicz on 2005-07-21.
As of what date were the details pertaining to Regina R. Jasiewicz last refreshed?
The information related to the Regina R. Jasiewicz, including its address, specialty, and other relevant details, was last updated on 2016-09-07.