Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Ann Fusco

Individual provider Registered Nurse · NPI 1063113355

Jaclyn Ann Fusco is a Registered Nurse in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

100 Navarre Pl Ste 5550
South Bend, IN 46601-1169
Phone: (574) 647-2550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 202325197 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28265298A (IN)

Record details

NPI number1063113355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2023
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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