Individual
JEREMY FAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 423-5431
Mailing address
6550 W WASHINGTON CENTER RD, FORT WAYNE, IN 46818-9754
(260) 602-2489
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
28141077A
IN
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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