Individual
JENNIFER FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7972 W JEFFERSON BLVD, STE A, FORT WAYNE, IN 46804-4140
(260) 459-1780
(260) 459-2779
Mailing address
7972 W JEFFERSON BLVD, STE A, FORT WAYNE, IN 46804-4140
(260) 459-1780
(260) 459-2779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28161601A
IN
363L00000X
Nurse Practitioner
71005163A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71005163A
IN
Other
Enumeration date
08/11/2014
Last updated
10/06/2014
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