Individual
KARI LOUISE HACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2520 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 344-4035
Mailing address
6435 W JEFFERSON BLVD PMB 109, FORT WAYNE, IN 46804-6203
(260) 344-4035
(260) 969-9272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009560A
IN
Other
Enumeration date
11/05/2019
Last updated
12/01/2021
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