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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB EDWARD LUNDORF, NP

Active

JACOB EDWARD LUNDORF, NP is a Nurse Practitioner healthcare provider located in BLOOMINGTON, Indiana. NPI 1598251175 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BLOOMINGTON, IN

Registration Details

NPI Number
1598251175
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2018 (8.106977127886 yrs)
Last Updated
Dec 29, 2025
Licenses
71009487A (IN)
71009487B (IN)
5010695 (NC)

Practice Information

Address
2100 S LIBERTY DR STE B
BLOOMINGTON, IN, 47403
Browse IN providers · Browse ZIP 47403
Phone
8123365723
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BLOOMINGTON, IN

Name Credential NPI
SUSAN D STOLZ NP 1104821271
JILL R SMITH NP 1164427076
LAURA KAY FIELDS NP 1538164330
MICHAEL R BURNS N.P. 1851396642
JAYNE CRESCIMBENI-PIERCE C-NP 1619958782
KIMBERLY A NELSON NP 1174583421
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.