Jessyca Mecole Batiest

Individual provider Active NPI Other Specialist/Technologist · Gary, IN

NPI 1366089401 · NPPES record last updated Dec 9, 2019

Key facts

NPI
1366089401
Entity type
Individual (NPI type 1)
Primary specialty
Other Specialist/Technologist 246Z00000X
Practice address
1100 W 6TH Ave
Gary, IN 46402-1711
Phone
(219) 885-4264
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Yes

Addresses

Primary practice location

1100 W 6TH Ave
Gary, IN 46402-1711

Mailing address

1100 W 6TH Ave
Gary, IN 46402-1711

Other providers in Gary, IN

All providers in Gary, IN · Other Specialist/Technologist in Indiana

Sources for this page

Verify at the official NPI Registry.