JULIE STACKHOUSE, CNM

Nurse Practitioner

Active Individual
NPI: 1942352802

Practice Address

2414 E STATE BLVD
SUITE 101
Fort Wayne, IN 46805

Phone: (260) 422-7455

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 71001177A (IN)
Advanced Practice Midwife 367A00000X No 09000127A (IN)

Frequently Asked Questions

NPI 1942352802 is the National Provider Identifier for JULIE STACKHOUSE, CNM, a Nurse Practitioner provider located in Fort Wayne, IN. This NPI was enumerated on January 18, 2007.
JULIE STACKHOUSE, CNM practices at 2414 E STATE BLVD, SUITE 101, Fort Wayne, IN 46805.

Quick Facts

NPI
1942352802
Type
Individual
Enumerated
Jan 18, 2007
Last Updated
Jan 30, 2020

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