Individual provider · NPI-1

Jean Bahu, FNP-BC

Nurse Practitioner, Family · Mishawaka, IN

NPI number1669869954
StatusActive
Last updated in NPPESMay 21, 2019

Details

NPI
1669869954
Entity type
Individual (NPI-1)
Name
Jean Bahu
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2015
Last updated
May 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family28189227AINYes

Practice location

1802 Day Rd
Mishawaka, IN 46545-4329

Phone 574-204-7200 · Fax 574-252-0633

Mailing address

1802 Day Rd
Mishawaka, IN 46545-4329

Phone 574-204-7200 · Fax 574-252-0633

Other practice locations

2102 E Inwood Rd
South Bend, IN 46614

Phone 574-204-6000 · Fax 574-204-7125

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