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

Juliana Gullett

Individual provider Critical Care Medicine Registered Nurse · NPI 1174206338

Juliana Gullett is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619
Phone: (260) 484-8830
Fax: (260) 483-1911
Show map & directions

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

Additional practice locations (1)

  • 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 — (260) 672-6620

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71014502A (IN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 28230580A (IN)

Record details

NPI number1174206338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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