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Reginald L Humphrey, NP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1619978178

Reginald L Humphrey is a Nurse Practitioner based in Fort Wayne, IN. Reginald L Humphrey practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Reginald L Humphrey is 1619978178 and holds a License No. APN0000012531 (Indiana).

The current practice location address for Reginald L Humphrey is 11109 Parkview Plaza Dr, Fort Wayne, IN and can be reached out via phone at 260-266-2020 and via fax at 260-266-2009.

Location: 11109 Parkview Plaza Dr, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619978178
Provider Name
Reginald L Humphrey
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
11109 Parkview Plaza Dr, Fort Wayne, IN, 46845-1701
Phone Number
260-266-2020
Fax Number
260-266-2009
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200262080 05 IN
institution
Provider Business Practice Location Address Details
Address
11109 Parkview Plaza Dr
City
Fort Wayne
State
Indiana
Zip
46845-1701
Phone Number
260-266-2020
Fax Number
260-266-2009
person
Provider Business Mailing Address Details
Address
11109 Parkview Plaza Dr
City
Fort Wayne
State
Indiana
Zip
46845-1701
Phone Number
260-266-2020
Fax Number
260-266-2009
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71000812A (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.
APN0000012531 (Tennessee)
Definition
Definition to come...
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