Individual provider · Type 1 NPI

Juliana Gullett

Nurse Practitioner · Fort Wayne, IN

NPI number 1174206338 Active

Practice location

2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619

Call (260) 484-8830 Map

Fax (260) 483-1911

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Other practice locations

  • 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 · (260) 672-6620

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X28230580A (IN)
Nurse Practitioner Primary 363L00000X71014502A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174206338

Juliana Gullett's National Provider Identifier is 1174206338, issued on Aug 14, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 28, 2026.