Healthcare Provider Details

I. General information

NPI: 1063042513
Provider Name (Legal Business Name): JILLIAN ROSE GREER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILLIAN ROSE FINLEY NP

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 BRACKEN PKWY
HOBART IN
46342-6789
US

IV. Provider business mailing address

10012 CALUMET AVE STE A
MUNSTER IN
46321-4055
US

V. Phone/Fax

Practice location:
  • Phone: 219-227-5119
  • Fax: 219-227-5190
Mailing address:
  • Phone: 219-227-5119
  • Fax: 219-227-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71009815A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: