Individual
MEGAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N SAWYER RD, KENDALLVILLE, IN 46755-2572
(260) 347-0977
(260) 347-8547
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005959A
IN
Other
Enumeration date
09/02/2015
Last updated
02/23/2026
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