Organization · Type 2 NPI
Progressive Psychiatric Services LLC
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1366386799
Active
Practice location
14903 Sandstone Dr
Fort Wayne, IN 46814-8888
Mailing address
429 E Dupont Rd # 1064
Fort Wayne, IN 46825-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1366386799
Progressive Psychiatric Services LLC's National Provider Identifier is 1366386799, issued on Apr 16, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 16, 2026.