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Jennifer Dale, NP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1760833511

Jennifer Dale is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Jennifer Dale practices in Fort Wayne, IN and has the professional credentials of NP-C. The NPI Number for Jennifer Dale is 1760833511 and holds a License No. 71007992A (Indiana).

The current practice location address for Jennifer Dale is 6326 Constitution Dr, Fort Wayne, IN and can be reached out via phone at 260-797-2117.

Location: 6326 Constitution Dr, Fort Wayne, IN, 46804-1518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760833511
Provider Name
Jennifer Dale
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
6326 Constitution Dr, Fort Wayne, IN, 46804-1518
Phone Number
260-797-2117
Fax Number
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NONE
institution
Provider Business Practice Location Address Details
Address
6326 Constitution Dr
City
Fort Wayne
State
Indiana
Zip
46804-1518
Phone Number
260-797-2117
Fax Number
person
Provider Business Mailing Address Details
Address
6326 Constitution Dr
City
Fort Wayne
State
Indiana
Zip
46804-1518
Phone Number
260-797-2117
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71007992A (Indiana)
Definition
Definition to come...
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