Healthcare Provider Details

I. General information

NPI: 1497559132
Provider Name (Legal Business Name): VESNA JOKIC NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8127 MERRILLVILLE RD
MERRILLVILLE IN
46410-1485
US

IV. Provider business mailing address

8127 MERRILLVILLE RD STE 1
MERRILLVILLE IN
46410-6306
US

V. Phone/Fax

Practice location:
  • Phone: 219-208-6218
  • Fax:
Mailing address:
  • Phone: 219-208-6218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF02250505
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: