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Jessica Shaye Proxmire
Nurse Practitioner in Fort Wayne, Indiana
NPI 1336676337

Jessica Shaye Proxmire is a Nurse Practitioner based in Fort Wayne, IN. Jessica Shaye Proxmire practices in Fort Wayne, IN. The NPI Number for Jessica Shaye Proxmire is 1336676337 and holds a License No. 9455542 (Indiana).

The current practice location address for Jessica Shaye Proxmire is 4402 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-425-5500 and via fax at 260-425-5505.

Location: 4402 E State Blvd, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336676337
Provider Name
Jessica Shaye Proxmire
Credential
Provider Entity Type
Individual
Gender
Female
Address
4402 E State Blvd, Fort Wayne, IN, 46845-1701
Phone Number
260-425-5500
Fax Number
260-425-5505
Provider Enumeration Date
05/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4402 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6917
Phone Number
260-425-5500
Fax Number
260-425-5505
person
Provider Business Mailing Address Details
Address
4402 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6917
Phone Number
260-425-5500
Fax Number
260-425-5505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71008120A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9455542 (Florida)
Definition
Definition to come...
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