Individual
MS. CHRISTINE JENIFER MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6404 WOODTHRUSH DR, FORT WAYNE, IN 46835-1325
(260) 414-6572
Mailing address
6404 WOODTHRUSH DR, FORT WAYNE, IN 46835-1325
(260) 414-6572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IN71000551
IN
Other
Enumeration date
08/27/2007
Last updated
02/13/2024
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