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

Odelia Jetmore, RNMSN

Individual provider Emergency Registered Nurse · NPI 1093400848

Odelia Jetmore, RNMSN is an Emergency Registered Nurse in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 28079567A (IN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 28079567 (IN)

Record details

NPI number1093400848
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSN
Sole proprietorYes
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing address2121 Lake Ave, Fort Wayne, IN 46805-5100

Other providers in Fort Wayne