Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Deedee Imafortor Nwachukwu, PA-C

Individual provider Physician Assistant · NPI 1548853211

MS. Deedee Imafortor Nwachukwu, PA-C is a Physician Assistant in Jasper, Indiana. Licensed in Indiana and New York. Registered with an NPI since 2021.

Licensed in
IN, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

480 Eversman Dr
Jasper, IN 47546-3548
Phone: (812) 482-3020
Fax: (812) 203-5848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004709B (IN)
Physician Assistant Taxonomy 363A00000X · Licence 026338 (NY)

Record details

NPI number1548853211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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