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Jefferson Pediatrics, Pc
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1134542855

Jefferson Pediatrics, Pc is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Jefferson Pediatrics, Pc practices in Fort Wayne, IN. The NPI Number for Jefferson Pediatrics, Pc is 1134542855 and holds a License No. 71004759A (Indiana).

The current practice location address for Jefferson Pediatrics, Pc is 3919 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-7722.

Location: 3919 W Jefferson Blvd, Fort Wayne, IN, 46804-6811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134542855
Provider Name
Jefferson Pediatrics, Pc
Credential
Provider Entity Type
Organization
Address
3919 W Jefferson Blvd, Fort Wayne, IN, 46804-6811
Phone Number
260-436-7722
Fax Number
Provider Enumeration Date
01/31/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3919 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6811
Phone Number
260-436-7722
Fax Number
person
Provider Business Mailing Address Details
Address
3919 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6811
Phone Number
260-436-7722
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71004759A (Indiana)
Definition
Definition to come...
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