Healthcare Provider Details

I. General information

NPI: 1689676108
Provider Name (Legal Business Name): JOHN N JOVEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2598 W WHITE RIVER BLVD
MUNCIE IN
47303-5251
US

IV. Provider business mailing address

2598 W WHITE RIVER BLVD
MUNCIE IN
47303-5251
US

V. Phone/Fax

Practice location:
  • Phone: 765-747-3888
  • Fax: 765-288-6139
Mailing address:
  • Phone: 657-747-3888
  • Fax: 765-288-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01045241A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: