Individual provider · Type 1 NPI
Nicole Teague, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1467279364
Active
Practice location
3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Mailing address
729 S Wellington St
South Bend, IN 46619-2924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28223419A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71015862A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467279364
Nicole Teague, PMHNP's National Provider Identifier is 1467279364, issued on Sep 23, 2024. 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 Oct 29, 2026.