Individual
NIKKI J MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-C
Contact information
Practice address
3010 INDEPENDENCE DR, FORT WAYNE, IN 46808-1328
(260) 739-5821
(260) 527-4802
Mailing address
3010 INDEPENDENCE DR, FORT WAYNE, IN 46808-1328
(260) 478-6240
(260) 527-4802
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28157094A
IN
Other
Enumeration date
03/02/2007
Last updated
02/02/2018
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