JOHNELL J TREESH VALENTINE

EXTENDED CARE SPECIALISTS, INC

Dr JOHNELL J TREESH VALENTINE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.

Contact

EXTENDED CARE SPECIALISTS, INC

3512 STELLHORN RD
FORT WAYNE
IN
468154631

Tel: 2604839081

JOHNELL J TREESH VALENTINE Information

Npi 1417256702
Pac Id 6305004417
Professional Enrollment Id I20120221000583
Last Name TREESH VALENTINE
First Name JOHNELL
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EXTENDED CARE SPECIALISTS, INC
Group Practice Pac Id 2466407713
Number Of Group Practice Members 62
Line 1 Street Address 3512 STELLHORN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT WAYNE
State IN
Zip Code 468154631
Phone Number 2604839081
Hospital Affiliation Ccn 1 150047
Hospital Affiliation Lbn 1 ST JOSEPH HOSPITAL
Hospital Affiliation Ccn 2 150021
Hospital Affiliation Lbn 2 PARKVIEW REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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