Provider Demographics
NPI:1457394348
Name:JOCHIM, PAULA J (FNP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:JOCHIM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47547-1028
Mailing Address - Country:US
Mailing Address - Phone:812-481-8483
Mailing Address - Fax:812-481-8497
Practice Address - Street 1:4 W VINE ST
Practice Address - Street 2:
Practice Address - City:DALE
Practice Address - State:IN
Practice Address - Zip Code:47523-9061
Practice Address - Country:US
Practice Address - Phone:812-937-7140
Practice Address - Fax:812-937-7145
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000521363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN500005397OtherRAILROAD MEDICARE
IN200187100Medicaid
IN149680AMedicare PIN
INS68065Medicare UPIN