Doctor Name: | JESSICA A GNOTH |
NPI Number: | 1073932232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28177569A |
Business Practice Address: | 420 W 4th St Mishawaka, IN - 465441948 |
Business Phone Number: | 5743077673 |
Business Fax Number: | 5743077692 |
Mailing Address: | 951 Transport Dr, VALPARAISO |
State: | IN |
Postal Code: | 463838434 |
Phone Number: | 2194627173 |
Fax Number: | 2194659507 |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 28177569A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |