Individual
JANET CASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2121 LAKE AVENUE, ROOM 345, FORT WAYNE, IN 46805
(260) 426-5431
(260) 460-1385
Mailing address
2121 LAKE AVENUE, ROOM 345, FORT WAYNE, IN 46805
(260) 426-5431
(260) 460-1385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000792A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530312
ANTHEM BC/BS
IN
05
—
200290840
—
IN
Enumeration date
03/17/2006
Last updated
06/19/2013
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