Individual
MRS. JODI LYNN GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(919) 932-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014120A
IN
363LF0000X
Family Nurse Practitioner
CP001980
SD
Other
Enumeration date
03/04/2021
Last updated
08/07/2023
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