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

Individual provider Prevention Professional · NPI 1457906067

Jennifer L Rubalcada is a Prevention Professional in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
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Practice location Address checks out

1101 W Oakdale Dr
Fort Wayne, IN 46807-1747
Phone: (260) 246-0132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence NA (IN)

Record details

NPI number1457906067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019

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