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

Jackie Dean Vannatta Jr.

Individual provider Case Manager/Care Coordinator · NPI 1487135869

Jackie Dean Vannatta Jr. is a Case Manager/Care Coordinator in Fort Wayne, Indiana. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2525 Lake Ave
Fort Wayne, IN 46805-5407
Phone: (260) 484-4153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1487135869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESAugust 24, 2018

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