Individual
JORDYN MARIE HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13430 MAIN ST, GRABILL, IN 46741-2001
(260) 469-6604
(260) 969-3070
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016367A
IN
Other
Enumeration date
01/21/2025
Last updated
08/11/2025
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