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

Jennifer Lynn Daugherty

Individual provider Registered Nurse · NPI 1679212500

Jennifer Lynn Daugherty is a Registered Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022

Practice location Address checks out

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (765) 677-5163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 28132817A (IN)

Record details

NPI number1679212500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address2121 Lake Ave, Fort Wayne, IN 46805-5100

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