Individual provider · Type 1 NPI
Jonathan Michael Fansler, NP
Nurse Practitioner · Lagrange, IN
Practice location
2500 N Detroit St
Lagrange, IN 46761-1158
Fax (260) 463-3775
Mailing address
PO Box 236
Lagrange, IN 46761-0236
Other practice locations
- 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 · (260) 266-7100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71012167A (IN) |
| Registered Nurse | 163W00000X | 28234112A (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 1366193377
Jonathan Michael Fansler, NP's National Provider Identifier is 1366193377, issued on Jan 11, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lagrange, IN. The record was last updated on Sep 19, 2025.