Individual
JENNIFER L TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825
(260) 484-8551
(260) 482-5060
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000730A
IN
363A00000X
Physician Assistant
50.003806
OH
Other
Enumeration date
08/17/2005
Last updated
11/15/2022
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