Individual provider · Type 1 NPI

Jessica Shaye Proxmire

Nurse Practitioner · Fort Wayne, IN

NPI number 1336676337 Active

Practice location

4402 E State Blvd
Fort Wayne, IN 46815-6917

Call (260) 425-5500 Map

Fax (260) 425-5505

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X9455542 (FL)
Nurse Practitioner Primary 363L00000X71008120A (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 1336676337

Jessica Shaye Proxmire's National Provider Identifier is 1336676337, issued on May 22, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 10, 2023.