Individual
JENNIFER REBECCA STUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 203-9600
(260) 739-6167
Mailing address
PO BOX 11766, FORT WAYNE, IN 46860-1766
(260) 203-9600
(260) 739-6167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005767A
IN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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