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Nurse Practitioner, Family

AMBULATORY CARE SOLUTIONS

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1952519894 · enumerated 2007-05-21 · record updated 2007-07-16. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: Mr. JOHN EARNEST, CEO · (574) 299-4847

Addresses and phones

Mailing address 2409 JEFFREY LN, NILES, MI, 49120-7706 (269) 684-8779 Google Maps Apple Maps OpenStreetMap
Practice location 5735 S IRONWOOD RD, SOUTH BEND, IN, 46614-9668 (574) 299-4847 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Family 363LF0000X · Primary

In this directory

IN St. Joseph County South Bend Nurse Practitioner, Family

Locations and evidence

Practice location SOUTH BEND, IN, 466149668
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.