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

JENNA RAE SMITH

Active

Nurse Practitioner · FORT WAYNE, IN

Registration Details

NPI Number
1720838816
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2024 (2.078761919578 yrs)
Last Updated
Sep 3, 2024
Licenses
28209700A (IN)
71015347A (IN)

Practice Information

Address
11141 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN, 468451714
Browse IN providers · Browse ZIP 46845
Phone
2604255400
Fax
2604255417
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
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.