NPI 1477398360

Jade Elise Law, PTC

Practitioner Phlebotomy Technician Fort Wayne, IN

Practice location

Address: 4737 Heatherwind Dr, Fort Wayne, IN 46815-7134
Phone: (260) 302-8529
Mailing address: 4604 Heatherwind Dr APT D, Fort Wayne, IN 46815-7136

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence PTC8958 (IN)

Other Technician, Pathology providers in Indiana →

Registry record

NPI: 1477398360
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2024
Record last updated: 1 Jul 2024

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.