JENNIFER SHAMBAUGH

FORT WAYNE, IN
NPI1053377606
Former NameJENNIFER HACKETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71002009A)
Enumeration Date2006-04-24
Last Update Date2008-02-21
Business Address
-- JENNIFER SHAMBAUGH NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
Mailing Address
-- JENNIFER SHAMBAUGH NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004