person
Julia A. Ellingwood, FNP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1790199255

Julia A. Ellingwood is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Julia A. Ellingwood practices in Fort Wayne, IN and has the professional credentials of FNP-C. The NPI Number for Julia A. Ellingwood is 1790199255 and holds a License No. 71004957A (Indiana).

The current practice location address for Julia A. Ellingwood is 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN and can be reached out via phone at 260-432-2297 and via fax at 260-969-7266.

Location: 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN, 46804-7934
person
Provider Profile Details
NPI Number
1790199255
Provider Name
Julia A. Ellingwood
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
7900 W Jefferson Blvd Ste 201, Fort Wayne, IN, 46804-7934
Phone Number
260-432-2297
Fax Number
260-969-7266
Provider Enumeration Date
06/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201237160 05 IN
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd Ste 201
City
State
Zip
46804-4128
Phone Number
260-432-2297
Fax Number
260-969-7266
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd Ste 201
City
State
Zip
46804-4128
Phone Number
260-432-2297
Fax Number
260-969-7266
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71004957A (Indiana)
Definition
Definition to come...
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