JESSICA SHAYE PROXMIRE

FORT WAYNE, IN
NPI1336676337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71008120A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  9455542)
Enumeration Date2017-05-22
Last Update Date2023-04-10
Business Address
JESSICA SHAYE PROXMIRE
4402 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-425-5500
Mailing Address
JESSICA SHAYE PROXMIRE
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: