Jennifer Diane Mata
Jennifer Diane Mata is a Family Nurse Practitioner in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2121 Lake AveFort Wayne, IN 46805-5100
Phone: (260) 426-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 71014672A (IN) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 71014672A (IN) |
Record details
| NPI number | 1922747294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2022 |
| Last updated in NPPES | May 17, 2024 |
| Certification date | May 17, 2024 |
Other providers in Fort Wayne
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Susan M. Maloney, NP-C
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Danica A. Marana
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Sharon J. Marrs, FNP
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Harrison Martin
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Bryan P Mathieson, NP
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Jamie A Matz, NP
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Neva R McCague, FNP
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Mr. Joshua Lee McChesney, NP-C, FNP-BC
2121 Lake Ave, Fort Wayne, IN 46805-5100 · (260) 426-5431