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

Julie R. Stackhouse, CNM

Individual provider Nurse Practitioner · NPI 1942352802

Julie R. Stackhouse, CNM is a Nurse Practitioner in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

2414 E State Blvd Ste 101
Fort Wayne, IN 46805-4760
Phone: (260) 422-7455
Fax: (260) 422-0086
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71001177A (IN)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 09000127A (IN)

Record details

NPI number1942352802
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

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