Individual
EMILY NICOLE HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 E DUPONT RD, FORT WAYNE, IN 46825-1582
(260) 203-9961
Mailing address
10909 W SYCAMORE HILLS DR, FORT WAYNE, IN 46814-9335
(260) 446-1512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011278A
IN
Other
Enumeration date
08/28/2020
Last updated
11/04/2025
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