Individual
JESSICA ROSE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
750 BROADWAY STE 350, FORT WAYNE, IN 46802-1412
(260) 423-2675
(260) 423-6621
Mailing address
750 BROADWAY STE 250, FORT WAYNE, IN 46802-1412
(260) 423-2675
(260) 423-6621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11023811A
IN
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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