Organization · Type 2 NPI

Jefferson Pediatrics, PC

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1134542855 Active

About NPI 1134542855

Jefferson Pediatrics, PC's National Provider Identifier is 1134542855, issued on Jan 31, 2014. 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 Jan 31, 2014.