Individual
JENNIFER L. DOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 46845-1707
(260) 266-8380
(260) 266-8385
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28068948
IN
363L00000X
Nurse Practitioner
Primary
71002157A
IN
363LF0000X
Family Nurse Practitioner
71002157
IN
Other
Enumeration date
11/14/2005
Last updated
04/07/2026
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