Individual
JESSICA L SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1306 E 7TH ST STE A, AUBURN, IN 46706-2537
(260) 925-1255
(260) 925-1256
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014774A
IN
363LF0000X
Family Nurse Practitioner
COA.12439-NP
OH
Other
Enumeration date
07/28/2011
Last updated
04/05/2024
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