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Individual

JANA REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11143 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845-1728
(260) 266-5730
(260) 266-5379
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
28195194A
IN
363L00000X
Nurse Practitioner
Primary
71013443A
IN

Other

Enumeration date
04/28/2020
Last updated
03/24/2023
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