Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA DIEHL | 1003432576 | 2020-06-22 |
Jessica Diehl is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003432576. Registration indicates Jessica Diehl is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Gerontology, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Gerontology, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Miss Jessica Diehl APRN |
Practice Office Address | 2307 LAPORTE AVE STE 8 VALPARAISO, IN US |
Practice Office Telephone | 2194647073 |
Practice Office Fax | 2194647543 |
Mailing Address | PO BOX 781076 DETROIT, MI 482781076 US |
Business Telephone | 3175284800 |
Business Fax | 3178651479 |
Address | City / State | Phone / Fax |
---|---|---|
1285 Creekside Blvd E Unit 102 | Naples, FL 341090595 | 2396240310 / 2396240311 |
Code | Practice | License No State |
---|---|---|
363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | APRN11007660
FL |
363LA2200X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN11007660
FL |
363LG0600X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Gerontology All Other Specialties & Provider Types Nurse Practitioner Gerontology Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 71013213A
IN |
107241700 | MEDICAID | FL | |
9PSOV | OTHER | FL | BCBS |