Individual
JOANNE M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, S-330, FORT WAYNE, IN 46845-1672
(260) 471-5114
Mailing address
11104 PARKVIEW CIRCLE DR, S-330, FORT WAYNE, IN 46845-1672
(260) 471-5114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002435A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200874890
—
IN
Enumeration date
09/13/2007
Last updated
01/25/2016
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