Individual provider · Type 1 NPI

Jennifer L. Dougal, NP-C

Nurse Practitioner · Fort Wayne, IN

NPI number 1528040805 Active

Practice location

11123 Parkview Plaza Dr Ste 204
Fort Wayne, IN 46845-1707

Call (260) 266-8380 Map

Fax (260) 266-8385

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	71002157 (IN)
Registered Nurse	163W00000X	28068948 (IN)
Nurse Practitioner Primary	363L00000X	71002157A (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 1528040805

Jennifer L. Dougal, NP-C's National Provider Identifier is 1528040805, issued on Nov 14, 2005. 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 7, 2026.