Individual
MR. JUSTIN MICHAEL GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3898 NEW VISION DR BLDG M, FORT WAYNE, IN 46845-1718
(260) 425-4050
Mailing address
3898 NEW VISION DR BLDG M, FORT WAYNE, IN 46845-1718
(260) 425-4050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28237511A
IN
Other
Enumeration date
10/20/2025
Last updated
01/08/2026
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