Whalio Doctors

NPI 1023522125

Jennifer Lee Virgl, NPC

Practitioner Family Nurse Practitioner Crown Point, IN

Practice location

Address
12750 St Francis Dr, Crown Point, IN 46307-0264
Phone
(219) 757-6121
Fax
(219) 681-6897
Mailing address
PO Box 781076, Detroit, MI 48278-1076

Registered specialties (4)

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 71008717A (IN)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 300629 (NC)
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence F06171755 (IL)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71008717A (IN)

Registry record

NPI
1023522125
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Nov 2017
Record last updated
15 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.