Provider Demographics
NPI:1972964484
Name:ARCE, JESSICA RENEE (FNP-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:RENEE
Last Name:ARCE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:GRUENHAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1452 SUGAR MILL CT
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-7508
Mailing Address - Country:US
Mailing Address - Phone:317-441-4628
Mailing Address - Fax:
Practice Address - Street 1:1452 SUGAR MILL CT
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-7508
Practice Address - Country:US
Practice Address - Phone:317-441-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71006218A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily