Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS DEEDEE IMAFORTOR EBALU, PA-C
ActiveMISS DEEDEE IMAFORTOR EBALU, PA-C is a Physician Assistant healthcare provider located in JASPER, Indiana. NPI 1548853211 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JASPER, IN
Registration Details
- NPI Number
- 1548853211
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2021 (5.4827495280208 yrs)
- Last Updated
- May 9, 2025
- Licenses
-
026338 (NY)10004709B (IN)
Practice Information
- Address
-
480 EVERSMAN DRJASPER, IN, 475463548Browse IN providers · Browse ZIP 47546
- Phone
- 8124823020
- Fax
- 8122035848
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JASPER, IN
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER R DILGER | PA-C | 1588661383 |
| BETHANY JANE LUBENOW | P.A.-C | 1568649234 |
| MR. JARRED S LAMPERT | PA | 1790073336 |
| MS. JILL M SENG | PA-C | 1346678141 |
| BENJAMIN J WEYER | PA | 1962053579 |
| MACKENZIE ROSE BETZ | PA | 1235755190 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.