Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healthy Body LLC

Organization Gerontology Nurse Practitioner · NPI 1508389990

Healthy Body LLC is a Gerontology Nurse Practitioner in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2515 Ladue Ln
Fort Wayne, IN 46804-2796
Phone: (925) 518-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71006194A (IN)

Record details

NPI number1508389990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mollie McDaniel Mowery — Owner · (925) 518-6122
NPI enumeratedJuly 18, 2017
Last updated in NPPESJuly 18, 2017
Mailing address7619 W Jefferson Blvd, Fort Wayne, IN 46804-4133

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