| Jennifer Renee Crayne, FNP-C | |
|
2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | |
| (219) 464-7073 | |
| (219) 464-7543 |
| Full Name | Jennifer Renee Crayne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2307 Laporte Ave Ste 8, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447822028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28209566A (Indiana) | Primary |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Renee Crayne, FNP-C Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800 | Jennifer Renee Crayne, FNP-C 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 Ph: (219) 464-7073 |
Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702 | |
James Brown, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Foxwood Ct, Valparaiso, IN 46385 Phone: 219-241-5526 Fax: 219-777-9992 | |
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504 | |
Kathleen Decorte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Leonard Dr, Valparaiso, IN 46383 Phone: 219-531-5855 Fax: 219-531-1617 | |
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045 | |
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039 | |
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240 |