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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON MATTHEW FANSLER

Active

JASON MATTHEW FANSLER is a Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1659037836 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FORT WAYNE, IN

Registration Details

NPI Number
1659037836
Provider Type
Individual
Gender
Male
NPI Issued
Nov 12, 2021 (4.7399039775435 yrs)
Last Updated
Oct 17, 2022
Licenses
71011989A (IN)
F10210869 (IN)

Practice Information

Address
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN, 468451730
Browse IN providers · Browse ZIP 46845
Phone
2602665700
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner

Other Nurse Practitioner Providers in FORT WAYNE, IN

Name Credential NPI
KAREN E. SPRINGER NP 1225035421
BEATRICE K TROXELL NP 1376542126
REGINALD L HUMPHREY NP 1619978178
JOYCE A FISHER NP 1962404392
VALERIE L STUCKY NP 1750373601
VICKI L BAHLS NP 1619962198
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.