Individual provider · Type 1 NPI

Jessica A. Wiedemann, NP

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1093256950 Active

Practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Fax (260) 436-8585

Mailing address

3926 New Vision Dr
Fort Wayne, IN 46845-1712

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71006951A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1093256950

Jessica A. Wiedemann, NP's National Provider Identifier is 1093256950, issued on Mar 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 18, 2017.