Individual
JAIME GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(260) 266-7100
(260) 266-7585
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011673A
IN
363L00000X
Nurse Practitioner
APRN.CNP.0036819
OH
Other
Enumeration date
09/02/2021
Last updated
02/20/2026
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