Jefferson Pediatrics, PC
Jefferson Pediatrics, PC is a Family Nurse Practitioner in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2014.
- Licensed in
- IN
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3919 W Jefferson Blvd Ste 1Fort Wayne, IN 46804-6811
Phone: (260) 436-7722
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 71004759A (IN) |
|---|
Record details
| NPI number | 1134542855 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Giridhar Veerula — Physician · (260) 436-7722 |
| NPI enumerated | January 31, 2014 |
| Last updated in NPPES | January 31, 2014 |
| Mailing address | 3919 W Jefferson Blvd, Suite 1, Fort Wayne, IN 46804-6811 |
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