Search › Indiana › 363L00000X
Jennifer Defauw
NPI 1548982812 · on the registry since 2022
Practice
- Address
- 3156 Willowcreek Rd
Portage, IN 46368 - Phone
- (219) 762-9444
- Fax
- (219) 762-2288
- Organisation at this address
- Bush Md Pc
J S Midmore Md Pc
Robert T. Ang, M.D.
Willow Creek Medical Llc
Medical Associates Of Nwi LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 1101 Glendale Blvd # 102a, Valparaiso, IN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana