Individual
JESSICA R. COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825-1906
(260) 203-9600
(260) 739-6167
Mailing address
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825-1906
(260) 203-9600
(260) 739-6167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005629A
IN
363LP0200X
Pediatric Nurse Practitioner
71005629A
IN
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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