Individual provider · Type 1 NPI

Jacquelyn Geraldine Small, DO

Family Medicine Physician · Fort Wayne, IN

NPI number 1225694102 Active

Practice location

3909 New Vision Dr
Fort Wayne, IN 46845-1725

Call (260) 469-6610 Map

Fax (260) 969-3065

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5101025847 (MI)
Family Medicine Physician Primary 207Q00000X02007766A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1225694102

Jacquelyn Geraldine Small, DO's National Provider Identifier is 1225694102, issued on May 15, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 3, 2024.