Individual
JULIANNE E. HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28177229A
IN
363L00000X
Nurse Practitioner
Primary
71009016A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233690149
MEDICARE
IN
05
—
300027452
—
IN
Enumeration date
04/11/2019
Last updated
11/17/2022
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