Individual
JAKE HEPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10082 ILLINOIS RD, FORT WAYNE, IN 46804-5772
(260) 213-4400
Mailing address
5302 SUNMEADOW DR, PLAINFIELD, IL 60586-7587
(815) 545-5884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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