JESSICA A. WIEDEMANN

FORT WAYNE, IN
NPI1093256950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006951A)
Enumeration Date2017-03-13
Last Update Date2017-09-18
Business Address
-- JESSICA A. WIEDEMANN NP
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
-- JESSICA A. WIEDEMANN NP
3926 NEW VISION DR
FORT WAYNE, IN 46845-1712
Phone number: 260-436-8686
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