NPI 1003314246

Stephanie Ann Clouse, NPC

Practitioner Family Nurse Practitioner Fort Wayne, IN

Practice location

Address: 7910 W Jefferson Blvd STE 120, Fort Wayne, IN 46804-4159
Phone: (260) 435-7612
Fax: (260) 435-7672
Mailing address: 6920 Pointe Inverness Way STE 200, Fort Wayne, IN 46804-7934

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 71007750A (IN)

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Registry record

NPI: 1003314246
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2018
Record last updated: 23 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.