Male or Other

Jean R. Mbassi FNP

Family Nurse Practitioner in Anderson, IN(View on Map)

Full Name

Jean Rene Mbassi FNP

NPI Number

1790140390

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/24/2015

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

Indiana
New Mexico
Washington

License Number

71007963A
CNP-02800
AP-60600744

Contact
Information

Purpose

Mailing
Location

Address

141 W 22ND ST STE 210
141 W 22ND ST STE 210

City

Anderson
Anderson

State

IN
IN

Postal Code

46016-4389
46016-4389

Country

US
US

Telephone Number

N/A
(765) 646-8795

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jean.mbassi.1@7598.direct.athenahealth.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

St. Vincent Medical Group, Inc.141 W 22nd St Ste 210Anderson, IN460164389US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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