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NPI Code Detail

MEDICARE: MARIA JO KING MSN, RN, OCN

MEDICARE:   MARIA JO KING  MSN, RN, OCN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0200XOncology Registered Nurse2813633AIN

General Provider Information

NPI Number : 1023945227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JO KING MSN, RN, OCN
Provider Business Mailing Address
First Line : 200 HIGH PARK AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-4810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 HIGH PARK AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-4810
Country : US
Telephone Number : 574-364-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ MARIA JO KING MSN, RN, OCN” Practice Location

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