JAMIE M MARKULIN AGCNS-BC NPI 1457096935

NPI Information

NPI: 1457096935
Provider Name: JAMIE M MARKULIN, AGCNS-BC
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
9120 COLUMBIA AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 703-5301
Get Directions

Jamie M Markulin, AGCNS-BC is a gerontology clinical nurse specialist in Munster, IN with 3 years of experience. Jamie M Markulin, AGCNS-BC NPI is 1457096935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9120 COLUMBIA AVE
MUNSTER, IN
ZIP 46321-907
Phone: (219) 703-5301
Fax: (219) 703-6718

The NPI 1457096935 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2022 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SG0600X	Clinical Nurse Specialist	Gerontology	71012539A	INDIANA	Yes
2	364SG0600X	Clinical Nurse Specialist	Gerontology	28204648A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300061751	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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