JESSICA SHAFER

FORT WAYNE, IN
NPI1184487365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71015064A)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: IN  28248405A)
Enumeration Date2024-01-31
Last Update Date2024-07-02
Business Address
JESSICA SHAFER
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2500
Mailing Address
JESSICA SHAFER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: