MR. JONATHAN FANSLER, NP
Nurse Practitioner
Active
Individual
NPI: 1366193377
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 71012167A (IN) |
| Registered Nurse | 163W00000X | No | 28234112A (IN) |
Frequently Asked Questions
NPI 1366193377 is the National Provider Identifier for MR. JONATHAN FANSLER, NP, a Nurse Practitioner provider located in Lagrange, IN. This NPI was enumerated on January 11, 2022.
MR. JONATHAN FANSLER, NP practices at 2500 N DETROIT ST, Lagrange, IN 46761.
Quick Facts
- NPI
- 1366193377
- Type
- Individual
- Enumerated
- Jan 11, 2022
- Last Updated
- Sep 19, 2025
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