JESSICA TULLIS

FORT WAYNE, IN
NPI1568951887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71008130A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28177204A)
Enumeration Date2018-05-02
Last Update Date2026-01-07
Business Address
JESSICA TULLIS
1818 CAREW ST STE 120
FORT WAYNE, IN 46805-4764
Phone number: 260-425-6200
Mailing Address
JESSICA TULLIS
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: