Individual
JOSIE J DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN.229957
OH
363L00000X
Nurse Practitioner
Primary
71009903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.227957
OHIO BOARD OF NURSING
OH
Enumeration date
03/04/2019
Last updated
03/09/2023
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