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Individual

SARA K FORD-TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
11123 PARKVIEW PLAZA DR STE 102, FORT WAYNE, IN 46845-1707
(260) 425-5240
(260) 425-5245
Mailing address
PO BOX 208, FORT WAYNE, IN 46801-0208
(260) 436-8686

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28144406A
IN
363L00000X
Nurse Practitioner
Primary
71015315A
IN

Other

Enumeration date
09/27/2023
Last updated
03/05/2026
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