Mrs. Jennifer Leigh Defauw
Mrs. Jennifer Leigh Defauw is a Nurse Practitioner in Portage, Indiana. Qualified in 2022, 4 years ago. Practices with Porter Physician Services LLC, a 96-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.
- Years since qualifying
- 4
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
3156 Willowcreek RdPortage, IN 46368-4498
Phone: (219) 762-9444
Fax: (219) 762-2288
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1101 Glendale Blvd # 102a, Valparaiso, IN 46383-3767 — (219) 464-9521
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 71013190A (IN) |
|---|
Record details
| NPI number | 1548982812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | June 19, 2026 |
| Certification date | June 19, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Porter Physician Services Llc — 96 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Portage
-
Kathryn M Gjeldum, ANP-BC
6375 US Highway 6 Ste B, Portage, IN 46368-5218 · (219) 762-0400
-
Kelli Holland, NP
3156 Willowcreek Rd, Portage, IN 46368-4424 · (219) 762-9444
-
Mrs. Krista S Nguyen, NP-C
3691 Willowcreek Rd, Portage, IN 46368-5076 · (219) 921-1444
-
Kelly Pollard, AGACNP
3156 Willowcreek Rd, Portage, IN 46368-4424 · (219) 762-9444