Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ODELIA JETMORE, RN MSN
Active Sole ProprietorODELIA JETMORE, RN MSN is a Emergency Nurse healthcare provider located in FORT WAYNE, Indiana. NPI 1093400848 is currently active in the NPPES registry. Verify at CMS.
Emergency Nurse · FORT WAYNE, IN
Registration Details
- NPI Number
- 1093400848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2023 (3.3114394917059 yrs)
- Last Updated
- Apr 7, 2023
- Licenses
-
28079567 (IN)28079567A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2121 LAKE AVEFORT WAYNE, IN, 468055100Browse IN providers · Browse ZIP 46805
- Phone
- 2604265431
- Primary Specialty
-
Emergency Nurse
163WE0003X
- Additional Specialty
- Emergency Nurse
Other Emergency Nurse Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| SHANYN SWAGER | — | 1912636150 |
| ANGELIA MASCARO | RN | 1538898770 |
| KATHY ANN MCNAMEE | REGISTERED NURSE | 1700515947 |
| SHERE LYNN MAZUR | RN | 1366171506 |
| MS. TERESA MARIE THIEME | RN | 1922709393 |
| CHERYL RENEE SHOOK | RN | 1023719523 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.