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1710923503
JANA K. POWELL
FORT WAYNE, IN
NPI
1710923503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71000566A)
Enumeration Date
2006-06-21
Last Update Date
2017-01-19
Business Address
JANA K. POWELL NP
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
JANA K. POWELL NP
6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: MEGAN FORTNEY
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3515
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