Organization · Type 2 NPI
Summit Psychiatric Services LLC
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1023992203
Active
Practice location
1025 W Rudisill Blvd Ste 229
Fort Wayne, IN 46807-2168
Mailing address
14826 Gateside Dr
Fort Wayne, IN 46814-7574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023992203
Summit Psychiatric Services LLC's National Provider Identifier is 1023992203, issued on Aug 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 14, 2025.