Individual
JENNIFER RENEE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5061
(260) 483-3116
Mailing address
2209 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5061
(260) 483-3116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28251434A
IN
363LF0000X
Family Nurse Practitioner
Primary
28251434A
IN
Other
Enumeration date
04/02/2025
Last updated
08/06/2025
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