Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Pamela S Dekoninck, MS, RN, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1639622772

Mrs. Pamela S Dekoninck, MS, RN, AGPCNP-BC is a Gerontology Nurse Practitioner in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2101 E Coliseum Blvd Wu 234
Fort Wayne, IN 46805-1445
Phone: (260) 481-5748
Fax: (260) 481-5752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 28079817 (IN)

Record details

NPI number1639622772
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RN , AGPCNP-BC
Sole proprietorYes
NPI enumeratedJuly 25, 2016
Last updated in NPPESJuly 25, 2016

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