Individual
REGINA ANN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11108 PARKVIEW CIRCLE DR STE 5100, FORT WAYNE, IN 46845-1730
(260) 266-2800
(260) 266-2805
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28102081A
IN
363L00000X
Nurse Practitioner
Primary
71012903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300067196
—
IN
05
—
7100853360
—
KY
01
—
Q00420409
MEDICARE RR
—
Enumeration date
08/04/2022
Last updated
08/03/2026
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