Organization
VA NORTHERN INDIANA HCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANN JONES (LPN)
(260) 426-5431
Entity
Organization
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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